Katherine Suzanne Fitzkappes, LICSW | |
824 N 11th St, Montevideo, MN 56265-1629 | |
(320) 269-8877 | |
(320) 321-8200 |
Full Name | Katherine Suzanne Fitzkappes |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 824 N 11th St, Montevideo, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831761675 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 15711 (Minnesota) | Primary |
Entity Name | Ccm Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720086028 PECOS PAC ID: 4284539453 Enrollment ID: O20031201000642 |
Mailing Address | Practice Location Address |
---|---|
Katherine Suzanne Fitzkappes, LICSW 824 N 11th St, Montevideo, MN 56265-1629 Ph: (320) 269-8877 | Katherine Suzanne Fitzkappes, LICSW 824 N 11th St, Montevideo, MN 56265-1629 Ph: (320) 269-8877 |
Karley Duenwald, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1234 E Highway 7, Montevideo, MN 56265 Phone: 320-269-6581 | |
Laura L Tersteeg-beier, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1025 N 13th St, Montevideo, MN 56265 Phone: 320-269-2222 | |
Ona Mae Hanson-gustafson, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1025 N 13th St, Montevideo, MN 56265 Phone: 320-269-2222 |