Mr Thomas J Hewett, LICSW | |
1802 Faribault Ct, Shakopee, MN 55379-4411 | |
(952) 233-3223 | |
Not Available |
Full Name | Mr Thomas J Hewett |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1802 Faribault Ct, Shakopee, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447588546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 12671 (Minnesota) | Primary |
Entity Name | Fairview Health Services |
---|---|
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 |
---|---|
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 Thomas J Hewett, LICSW 1802 Faribault Ct, Shakopee, MN 55379-4411 Ph: (952) 233-3223 | Mr Thomas J Hewett, LICSW 1802 Faribault Ct, Shakopee, MN 55379-4411 Ph: (952) 233-3223 |
Katelyn Rose Weckwerth, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 200 4th Ave W Ste 300, Shakopee, MN 55379 Phone: 952-496-8698 | |
Sarah Underdahl, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 4th Ave W Ste 300, Shakopee, MN 55379 Phone: 952-496-8457 Fax: 952-496-8355 | |
Ms. Kim Harmon, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 200 4th Ave W, Government Center Rm 300, Shakopee, MN 55379 Phone: 952-496-8155 Fax: 952-496-8355 | |
Jacquelyn Lee Kerkow-dohmen, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 500 Marschall Rd Ste 100, Shakopee, MN 55379 Phone: 952-448-6557 Fax: 952-448-6047 | |
Karen Jensen, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 301 Fuller St S, Shakopee, MN 55379 Phone: 952-818-3703 Fax: 952-818-3708 | |
Traci Lyn Hakanson, LISCW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 301 Fuller St S, Shakopee, MN 55379 Phone: 612-280-3048 | |
Allison Thorson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4572 Bulrush Blvd, Shakopee, MN 55379 Phone: 701-426-0693 |