Marisa Hutterer, LICSW | |
2400 W 64th St, Richfield, MN 55423-1001 | |
(612) 346-9853 | |
Not Available |
Full Name | Marisa Hutterer |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2400 W 64th St, Richfield, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821689894 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 27433 (Minnesota) | Primary |
Entity Name | Fraser Child And Family Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609922194 PECOS PAC ID: 3971918772 Enrollment ID: O20210208002399 |
Mailing Address | Practice Location Address |
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Marisa Hutterer, LICSW 2400 W 64th St, Richfield, MN 55423-1001 Ph: () - | Marisa Hutterer, LICSW 2400 W 64th St, Richfield, MN 55423-1001 Ph: (612) 346-9853 |
Claire Niessen-derry, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6625 Lyndale Ave S Ste 200, Richfield, MN 55423 Phone: 320-309-5910 | |
Alexandra Subbaraman, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6625 Lyndale Ave S Ste 440, Richfield, MN 55423 Phone: 612-712-7200 | |
Marnie K Carlson, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2400 W 64th St, Richfield, MN 55423 Phone: 612-767-7907 | |
Jan Marie Johnson, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6625 Lyndale Ave S Ste 500, Richfield, MN 55423 Phone: 612-886-3706 | |
Leah Anne Kiefer, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6820 Garfield Ave, Richfield, MN 55423 Phone: 507-720-4696 | |
Kevin P Callaghan, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1515 E 66th St, Richfield, MN 55423 Phone: 763-545-6558 | |
Jennifer Leigh Vlach, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6425 Nicollet Ave, Richfield, MN 55423 Phone: 612-861-1675 Fax: 612-861-3446 |