Mr William J Affeldt, MSSW LICSW | |
1001 Hart Blvd Ste 100, Monticello, MN 55362-8929 | |
(763) 295-2921 | |
(763) 581-9090 |
Full Name | Mr William J Affeldt |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 38 Years |
Location | 1001 Hart Blvd Ste 100, Monticello, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013950203 | NPI | - | NPPES |
110573C851 | Other | UCARE | |
6248959 | Other | MEDICA | |
970757300 | Medicaid | MN | |
HP27808 | Other | HEALTH PARTNERS | |
922241007835 | Other | PREFERRED ONE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 4248 (Minnesota) | Primary |
104100000X | Social Worker | 4248 (Minnesota) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Stellis Health Pa | 1153233796 | 57 |
Entity Name | Stellis Health Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184664674 PECOS PAC ID: 1153233796 Enrollment ID: O20031103000458 |
Mailing Address | Practice Location Address |
---|---|
Mr William J Affeldt, MSSW LICSW 1700 Highway 25 N, Buffalo, MN 55313-1930 Ph: (763) 684-3719 | Mr William J Affeldt, MSSW LICSW 1001 Hart Blvd Ste 100, Monticello, MN 55362-8929 Ph: (763) 295-2921 |
Heather Wilson, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 407 Washington St, Monticello, MN 55362 Phone: 320-241-4804 | |
Jenifer Elizabeth John, MA LMFT LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 261 Broadway St E, Monticello, MN 55362 Phone: 763-262-3077 Fax: 763-262-1113 | |
Jamie-sue Peterson, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 407 Washington St, Monticello, MN 55362 Phone: 320-249-6511 | |
Hannah Krog, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1013 Hart Blvd, Monticello, MN 55362 Phone: 763-271-2881 | |
Danielle Sarah Brant, BES, BS, LADC, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 407 Washington St, Monticello, MN 55362 Phone: 763-295-4001 | |
Kelsey Marie Keil, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 407 Washington St, Monticello, MN 55362 Phone: 763-295-4001 |