Kyan Bodden, | |
7920 Old Cedar Ave S, Bloomington, MN 55425-1207 | |
(952) 428-1800 | |
(952) 428-1723 |
Full Name | Kyan Bodden |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 15 Years |
Location | 7920 Old Cedar Ave S, Bloomington, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194034686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 16457 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Allina Health System | 4587573613 | 3101 |
Lyn-lake Psychotherapy And Wellness Ltd | 9638581291 | 35 |
Entity Name | Fairview Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Entity Name | Fairview Express Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Entity Name | Lyn-lake Psychotherapy And Wellness Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609355163 PECOS PAC ID: 9638581291 Enrollment ID: O20201224000071 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
Mailing Address | Practice Location Address |
---|---|
Kyan Bodden, Po Box 43, Minneapolis, MN 55440-0043 Ph: (612) 262-1166 | Kyan Bodden, 7920 Old Cedar Ave S, Bloomington, MN 55425-1207 Ph: (952) 428-1800 |
Kaitlyn Crowell, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9910 Drew Ave S Apt 107, Bloomington, MN 55431 Phone: 320-249-7214 | |
Clare Eileen Schuetz, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1801 American Blvd E Ste 8, Bloomington, MN 55425 Phone: 612-400-6173 Fax: 612-728-5301 | |
Cassandra Lynn Moorhead Ayub, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1801 American Blvd E, Suite 1, Bloomington, MN 55425 Phone: 952-737-6202 Fax: 612-728-5301 | |
Sean Alexander Pagoada, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9911 Brookside Ave, Bloomington, MN 55431 Phone: 305-562-9874 | |
Maria Angelica Keller, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 American Blvd E Ste 134, Bloomington, MN 55420 Phone: 651-338-0913 | |
Sarah Thukral, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1801 American Blvd E, Bloomington, MN 55425 Phone: 952-767-2267 | |
Megan Ferge, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8600 Nicollet Ave S, Bloomington, MN 55420 Phone: 952-541-2800 Fax: 952-886-7015 |