Mary Vorpahl, LICSW | |
5700 Bottineau Blvd Ste 210, Crystal, MN 55429-3184 | |
(763) 330-2774 | |
(763) 330-2775 |
Full Name | Mary Vorpahl |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 5700 Bottineau Blvd Ste 210, Crystal, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326748757 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 17064 (Minnesota) | Primary |
Entity Name | Nystrom & Associates Ltd |
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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 |
---|---|
Mary Vorpahl, LICSW 5700 Bottineau Blvd Ste 210, Crystal, MN 55429-3184 Ph: (763) 330-2774 | Mary Vorpahl, LICSW 5700 Bottineau Blvd Ste 210, Crystal, MN 55429-3184 Ph: (763) 330-2774 |
Shavon Swain, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6721 Valley Pl, Crystal, MN 55427 Phone: 763-587-5104 | |
Delia Melissa Koolick, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5701 Kentucky Ave N Ste 201, Crystal, MN 55428 Phone: 763-568-7223 | |
Seth Elliot Tupper, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5108 Lakeside Ave N, Crystal, MN 55429 Phone: 651-503-5780 Fax: 763-271-2707 | |
Kate Onyeneho, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6000 Bass Lake Rd Ste 206, Crystal, MN 55429 Phone: 952-356-2953 | |
Nabiha Abubakar Ali, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5701 Kentucky Ave N Ste 201, Crystal, MN 55428 Phone: 507-573-1039 | |
Pamera Kezy, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5700 Bottineau Blvd, Crystal, MN 55429 Phone: 844-697-8766 |