Mrs Dorothy Carmelite Enockson Sr, LICSW | |
4901 Johnson Ave, White Bear Lake, MN 55110-2622 | |
(651) 426-6374 | |
Not Available |
Full Name | Mrs Dorothy Carmelite Enockson Sr |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 47 Years |
Location | 4901 Johnson Ave, White Bear Lake, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093857351 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1508 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Memorial Health | Robbinsdale, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Memorial Health Care | 0042123028 | 474 |
Entity Name | North Memorial Health Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851344907 PECOS PAC ID: 0042123028 Enrollment ID: O20040122000470 |
Mailing Address | Practice Location Address |
---|---|
Mrs Dorothy Carmelite Enockson Sr, LICSW 4901 Johnson Ave, White Bear Lake, MN 55110-2622 Ph: (651) 426-6374 | Mrs Dorothy Carmelite Enockson Sr, LICSW 4901 Johnson Ave, White Bear Lake, MN 55110-2622 Ph: (651) 426-6374 |
Connie Toavs, MSW, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 4505 White Bear Pkwy Ste 1500, White Bear Lake, MN 55110 Phone: 651-493-8150 Fax: 651-493-9335 | |
Leanne Mairs, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6046 Sargent Ct N, White Bear Lake, MN 55110 Phone: 651-249-1750 | |
Erin Ernestine Forsman, M.S.W., LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1280 N Birch Lake Blvd, White Bear Lake, MN 55110 Phone: 651-429-8544 Fax: 651-407-5301 | |
Mr. Steven P Sawyer, MSSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4505 White Bear Pkwy, Suite 2200, White Bear Lake, MN 55110 Phone: 612-590-3190 | |
Melissa Pascoe, LGSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4525 White Bear Pkwy Ste 119, White Bear Lake, MN 55110 Phone: 612-467-9212 | |
Benjamin Dieffenbach, MSW, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 2368 Joy Ave, White Bear Lake, MN 55110 Phone: 651-338-9435 |