Kellie C Bernal Delgado, LICSW | |
11671 Fountains Dr Ste 200, Maple Grove, MN 55369-4784 | |
(612) 223-8898 | |
Not Available |
Full Name | Kellie C Bernal Delgado |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 11671 Fountains Dr Ste 200, Maple Grove, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235804113 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 27288 (Minnesota) | Primary |
Entity Name | Care Clinics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851716245 PECOS PAC ID: 7517181266 Enrollment ID: O20140619000479 |
Mailing Address | Practice Location Address |
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Kellie C Bernal Delgado, LICSW 11671 Fountains Dr Ste 200, Maple Grove, MN 55369-4784 Ph: (612) 223-8898 | Kellie C Bernal Delgado, LICSW 11671 Fountains Dr Ste 200, Maple Grove, MN 55369-4784 Ph: (612) 223-8898 |
Kathryn Schuster, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11280 86th Ave N, Maple Grove, MN 55369 Phone: 763-400-7828 Fax: 763-400-7444 | |
Ms. Paula A Monson, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6924 Xene Ln N, Maple Grove, MN 55311 Phone: 763-420-5903 | |
Sarah Voeller, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6493 Sycamore Ct N, Maple Grove, MN 55369 Phone: 612-217-2578 | |
Anna Shkolnik Johnson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12915 63rd Ave N, Maple Grove, MN 55369 Phone: 952-826-8404 | |
Ms. Lynn Marie Marrs, MSW LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6347 Upland Ln N, Maple Grove, MN 55311 Phone: 612-202-9085 Fax: 763-422-8283 | |
Ms. Sarah Baker Hussian, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12915 63rd Ave N, Maple Grove, MN 55369 Phone: 763-383-5800 | |
Dana Knight, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7200 Forestview Ln N, Maple Grove, MN 55369 Phone: 763-200-1466 |