Mr James Gary Ciemny Jr, LICSW | |
13531 Athena Way, Rosemount, MN 55068-6300 | |
(651) 322-1143 | |
(651) 683-6819 |
Full Name | Mr James Gary Ciemny Jr |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 13531 Athena Way, Rosemount, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285840439 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 15748 (Minnesota) | Primary |
Entity Name | Fairview Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Entity Name | Behavioral Healthcare Providers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912066218 PECOS PAC ID: 8426374232 Enrollment ID: O20150312002305 |
Mailing Address | Practice Location Address |
---|---|
Mr James Gary Ciemny Jr, LICSW 13531 Athena Way, Rosemount, MN 55068-6300 Ph: (651) 322-1143 | Mr James Gary Ciemny Jr, LICSW 13531 Athena Way, Rosemount, MN 55068-6300 Ph: (651) 322-1143 |
Ashley Utz, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 15265 Carrousel Way, Rosemount, MN 55068 Phone: 952-443-4600 Fax: 952-443-4604 | |
Ms. Brittany Dale Leitch Johnson, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 15265 Carrousel Way, Rosemount, MN 55068 Phone: 952-443-4600 Fax: 952-443-4604 | |
Elijah Wood, DSW, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 15265 Carrousel Way Ste 100, Rosemount, MN 55068 Phone: 952-443-4600 | |
Andrea Barlass, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15265 Carrousel Way Ste 100, Rosemount, MN 55068 Phone: 951-443-4600 | |
Kara Marie Haroldson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12795 S Robert Trl, Rosemount, MN 55068 Phone: 612-991-3904 | |
Bethany Leanne Bertsch, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14184 Belfast Ct, Rosemount, MN 55068 Phone: 651-334-1327 |