Mrs Gretchen Suzanne Kirvida, LICSW | |
7039 20th Ave, Centerville, MN 55038-9737 | |
(651) 288-0332 | |
(651) 288-0493 |
Full Name | Mrs Gretchen Suzanne Kirvida |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 29 Years |
Location | 7039 20th Ave, Centerville, 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 |
---|---|---|---|
1215097928 | NPI | - | NPPES |
169876 | Other | MN | UCARE |
205M6KI | Other | MN | BC BS |
4028602 | Other | MN | BHP |
17395900 | Medicaid | MN | |
HP37279 | Other | MN | HEALTH PARTNERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 3068 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Nest Professional Service Corp | 6608239819 | 2 |
Entity Name | Centerlife Counseling Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417283946 PECOS PAC ID: 0547391187 Enrollment ID: O20100626000182 |
Entity Name | Nest Professional Service Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508314071 PECOS PAC ID: 6608239819 Enrollment ID: O20230905002907 |
Mailing Address | Practice Location Address |
---|---|
Mrs Gretchen Suzanne Kirvida, LICSW Po Box 397, Center City, MN 55012 Ph: (651) 257-5399 | Mrs Gretchen Suzanne Kirvida, LICSW 7039 20th Ave, Centerville, MN 55038-9737 Ph: (651) 288-0332 |
Jolene Marie Metcalf, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7039 20th Ave, Centerville, MN 55038 Phone: 651-288-0332 Fax: 651-288-0493 | |
Joanne Susan Kurzmann, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7039 20th Ave, Centerville, MN 55038 Phone: 651-288-0332 Fax: 651-288-0493 | |
Kirsten Christenson, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7039 20th Ave, Centerville, MN 55038 Phone: 651-288-0332 Fax: 651-288-0493 |