Kirstina Emans, MSW, LICSW | |
49725 County 83, Staples, MN 56479-5280 | |
(218) 894-1515 | |
(218) 894-8767 |
Full Name | Kirstina Emans |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 49725 County 83, Staples, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366825614 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 18277 (Minnesota) | Primary |
Entity Name | Lakewood Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841280823 PECOS PAC ID: 1052229671 Enrollment ID: O20031104000411 |
Mailing Address | Practice Location Address |
---|---|
Kirstina Emans, MSW, LICSW 49725 County 83, Staples, MN 56479-5280 Ph: (218) 894-1515 | Kirstina Emans, MSW, LICSW 49725 County 83, Staples, MN 56479-5280 Ph: (218) 894-1515 |
Luann Annette Gammon, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 Fax: 218-894-8767 | |
Kristal Roberts, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-8204 | |
Taylar Rose Lehmkuhl, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 Fax: 218-894-8767 |