Melissa Macklin, LICSW | |
2030 Rahn Way, Eagan, MN 55122-2300 | |
(651) 529-1971 | |
(612) 728-5301 |
Full Name | Melissa Macklin |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2030 Rahn Way, Eagan, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538514906 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 22679 (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 |
---|---|
Melissa Macklin, LICSW 2030 Rahn Way, Eagan, MN 55122-2300 Ph: (651) 529-1971 | Melissa Macklin, LICSW 2030 Rahn Way, Eagan, MN 55122-2300 Ph: (651) 529-1971 |
Angela Maureen Holmquist, LICSW, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3618 Lakeview Trl, Eagan, MN 55122 Phone: 651-528-1449 | |
Mr. Todd Borstad, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3450 O'leary Lane, Eagan, MN 55123 Phone: 651-454-0114 Fax: 651-454-3492 | |
Jocelyn Skye Byrd, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-365-8264 | |
Sondra Decker Fruzzetti, M.S.W., LSCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-454-0114 Fax: 651-454-3492 | |
Clare Louise Macdonald-sexton, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1885 Plaza Dr, Eagan, MN 55122 Phone: 952-993-4001 | |
Anne Bushnell, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3460 Washington Dr Ste 200, Eagan, MN 55122 Phone: 651-232-3339 | |
Donna Jean Snetting, MSW LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3460 Washington Drive, Suite 200, Eagan, MN 55122 Phone: 651-769-6200 Fax: 651-769-6249 |