Mrs Andrea Hofstad, | |
217 Nw 1st Ave, Grand Rapids, MN 55744-2702 | |
(218) 244-1735 | |
Not Available |
Full Name | Mrs Andrea Hofstad |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 217 Nw 1st Ave, Grand Rapids, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679266357 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Ellie Family Services Pllp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740664150 PECOS PAC ID: 8325309669 Enrollment ID: O20180228001972 |
Mailing Address | Practice Location Address |
---|---|
Mrs Andrea Hofstad, 2115 Nw 9th Ave, Grand Rapids, MN 55744-4301 Ph: (218) 244-1735 | Mrs Andrea Hofstad, 217 Nw 1st Ave, Grand Rapids, MN 55744-2702 Ph: (218) 244-1735 |
Mr. Michael Harbin, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35382 Us Highway 2, Grand Rapids, MN 55744 Phone: 218-327-4886 Fax: 218-327-4848 | |
Drusilea Donato, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 413 Se 13th St, Grand Rapids, MN 55744 Phone: 218-999-9908 Fax: 218-999-7068 | |
Paige Kavanagh, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 413 Se 13th St, Grand Rapids, MN 55744 Phone: 218-327-3000 | |
Ms. Lisa Marie Silvestri-adamich, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 35629 Hill Dr, Grand Rapids, MN 55744 Phone: 218-259-9417 | |
Ms. Lisa Jo Corradi, MSW LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1880 River Rd, Grand Rapids, MN 55744 Phone: 218-327-3000 Fax: 218-327-1871 | |
Lynette Schmidt, MSW LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35382 Us Hwy 2, Grand Rapids, MN 55744 Phone: 218-327-4886 Fax: 218-327-4848 | |
Megan Amanda Gerak, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 10 Nw 5th St, Ste 3, Grand Rapids, MN 55744 Phone: 218-250-8687 Fax: 218-203-4782 |