| Liberty A Mcclead, LICSW, LCSW | |
|
538 Cedar Ln, Moorhead, MN 56560-3231 | |
| (404) 227-0096 | |
| Not Available |
| Full Name | Liberty A Mcclead |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 538 Cedar Ln, Moorhead, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932533197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW006511 (Georgia) | Primary |
| 1041C0700X | Social Worker - Clinical | 33215 (Minnesota) | Secondary |
| Entity Name | Nystrom & Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty A Mcclead, LICSW, LCSW 538 Cedar Ln, Moorhead, MN 56560-3231 Ph: (404) 227-0096 | Liberty A Mcclead, LICSW, LCSW 538 Cedar Ln, Moorhead, MN 56560-3231 Ph: (404) 227-0096 |
Deborah Ann Bialik, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2405 8th St S Ste 200, Moorhead, MN 56560 Phone: 218-331-4866 | |
Mr. Craig L. Weickert, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1010 32nd Ave S, Moorhead, MN 56560 Phone: 218-233-7524 Fax: 218-233-8627 | |
Sharon Staton, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 Center Ave, Moorhead, MN 56560 Phone: 218-233-3991 | |
Ms. Jennifer Jo Faul, LCSW IN ND LGSW IN M Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2925 20th St S, Moorhead, MN 56560 Phone: 218-284-0300 Fax: 218-284-5944 | |
Brian John Martin, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1010 32nd Ave S, Moorhead, MN 56560 Phone: 218-223-7524 | |
Abby Lynn Steer, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1010 32nd Ave S, Moorhead, MN 56560 Phone: 218-233-7524 Fax: 218-233-8627 | |
Ebla Abdi Hassan, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 850 44th Ave S Apt 211, Moorhead, MN 56560 Phone: 717-554-4217 |