Lacey Hammond, | |
121 11th Ave Se, Forest Lake, MN 55025-1850 | |
(651) 777-5222 | |
(651) 251-5279 |
Full Name | Lacey Hammond |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 12 Years |
Location | 121 11th Ave Se, Forest Lake, 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 |
---|---|---|---|
1720461064 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 22081 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
River Valley Behavioral Health And Wellness Center, Llc | 3678625035 | 9 |
Entity Name | Canvas Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922051325 PECOS PAC ID: 8729073978 Enrollment ID: O20040416001178 |
Entity Name | River Valley Behavioral Health & Wellness Center, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316197148 PECOS PAC ID: 3678625035 Enrollment ID: O20090715000482 |
Mailing Address | Practice Location Address |
---|---|
Lacey Hammond, 121 11th Ave Se, Forest Lake, MN 55025-1850 Ph: (651) 777-5222 | Lacey Hammond, 121 11th Ave Se, Forest Lake, MN 55025-1850 Ph: (651) 777-5222 |
Erica Rae Cournoyer, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 18323 July Ave N, Forest Lake, MN 55025 Phone: 651-329-9476 | |
Mai Khou Yang, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 708 W Broadway Ave Ste A, Forest Lake, MN 55025 Phone: 651-408-5154 | |
Susan Kreulen, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 Lake St N, Suite 210, Forest Lake, MN 55025 Phone: 612-672-1514 Fax: 651-464-4847 | |
Adrienne M Kovar, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1068 Lake St S, Ste 109, Forest Lake, MN 55025 Phone: 651-982-4792 Fax: 651-982-6035 | |
Cassie Nieman, M.A. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 555 W Broadway Ave, Suites 2 And 3, Forest Lake, MN 55025 Phone: 651-251-5226 Fax: 651-251-5279 | |
Ms. Elizabeth Anne Mcinerney, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 882 Sw 15th Avenue, Forest Lake, MN 55025 Phone: 651-464-2194 | |
Gary Goolsbee, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 121 11th Ave Se, Forest Lake, MN 55025 Phone: 651-251-5220 Fax: 651-251-5279 |