Mollie Jean Kohler, LICSW | |
8085 Wayzata Blvd, Golden Valley, MN 55426-1453 | |
(612) 314-3514 | |
Not Available |
Full Name | Mollie Jean Kohler |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 8085 Wayzata Blvd, Golden Valley, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487309753 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Wild Tree Psychotherapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528451408 PECOS PAC ID: 8426408881 Enrollment ID: O20231227001431 |
Mailing Address | Practice Location Address |
---|---|
Mollie Jean Kohler, LICSW 1261 Idaho Ave W, Saint Paul, MN 55108-2237 Ph: (612) 849-3383 | Mollie Jean Kohler, LICSW 8085 Wayzata Blvd, Golden Valley, MN 55426-1453 Ph: (612) 314-3514 |
Iva Joan Stauffer, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5905 Golden Valley Rd, Suite 100, Golden Valley, MN 55422 Phone: 612-617-7802 Fax: 612-331-6772 | |
Melia Joy Mccubbin, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 701 Decatur Ave N, Suite 109, Golden Valley, MN 55427 Phone: 763-746-2400 | |
Irwin Thompson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5905 Golden Valley Rd Ste 100, Golden Valley, MN 55422 Phone: 763-753-7310 Fax: 763-753-6529 | |
Mrs. Joyce Lynn Ratner, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8085 Wayzata Blvd, Golden Valley, MN 55426 Phone: 612-281-6391 | |
Soreya Mohamud Jama, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1710 Douglas Dr N Ste 226x, Golden Valley, MN 55422 Phone: 612-703-8828 Fax: 952-658-0434 | |
Ms. Rebecca Ann Malooly, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5600 Loring Ln, Golden Valley, MN 55422 Phone: 651-439-0708 | |
Saundra Bryant-lamb, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8401 Wayzata Blvd, Golden Valley, MN 55426 Phone: 763-544-1006 |