Kristle Ann Chase, LICSW | |
1300 Willmar Ave Se, Willmar, MN 56201-4737 | |
(320) 221-1419 | |
Not Available |
Full Name | Kristle Ann Chase |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1300 Willmar Ave Se, Willmar, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770900508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 18691 (Minnesota) | Primary |
Entity Name | Woodland Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295818862 PECOS PAC ID: 7416860457 Enrollment ID: O20031106000600 |
Mailing Address | Practice Location Address |
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Kristle Ann Chase, LICSW 1300 Willmar Ave Se, Willmar, MN 56201-4737 Ph: (320) 221-1419 | Kristle Ann Chase, LICSW 1300 Willmar Ave Se, Willmar, MN 56201-4737 Ph: (320) 221-1419 |
Cheryl Block Hansen, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 502 2nd St Sw, Willmar, MN 56201 Phone: 320-235-7232 | |
Jenna Prusa, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 513 5th St Sw, Willmar, MN 56201 Phone: 320-214-9692 Fax: 320-214-9924 | |
Becca Warne, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1125 6th St Se, Willmar, MN 56201 Phone: 320-235-4613 | |
Mr. Barry Leroy Evans, MASTER SOCIAL WORK Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1125 6th Street Se, Woodland Centers, Willmar, MN 56201 Phone: 320-231-9148 Fax: 320-231-9140 | |
Taylor Madsen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1125 6th St Se, Willmar, MN 56201 Phone: 320-235-4613 | |
Mrs. Brenda Jean Hubers, MSW, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1604 1st St S, #225, Willmar, MN 56201 Phone: 320-905-4163 | |
David Anthony Munson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1125 6th St Se, Willmar, MN 56201 Phone: 320-235-4613 Fax: 320-231-9141 |