Mrs Sadie Elizabeth Watts, MSW, LICSW | |
625 3rd Ave Nw, Faribault, MN 55021-4219 | |
(507) 720-8011 | |
Not Available |
Full Name | Mrs Sadie Elizabeth Watts |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 625 3rd Ave Nw, Faribault, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093359424 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 19402 (Minnesota) | Primary |
Entity Name | Lighthouse Psychological Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548428170 PECOS PAC ID: 3072948389 Enrollment ID: O20200115000170 |
Mailing Address | Practice Location Address |
---|---|
Mrs Sadie Elizabeth Watts, MSW, LICSW 735 Green Meadow Ct, Northfield, MN 55057-1322 Ph: (507) 649-1913 | Mrs Sadie Elizabeth Watts, MSW, LICSW 625 3rd Ave Nw, Faribault, MN 55021-4219 Ph: (507) 720-8011 |
Taylor Derosier, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1415 Town Square Ln, Faribault, MN 55021 Phone: 507-323-8100 | |
Mr. David James Rabine-young, MSSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2504 Woodland Dr, Faribault, MN 55021 Phone: 507-334-3992 | |
Maritza Judith Navarro, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1415 Town Square Ln, Faribault, MN 55021 Phone: 507-323-8100 Fax: 833-974-2090 | |
Janine M. Brady, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 303 1st Ave Ne Ste 260, Faribault, MN 55021 Phone: 507-573-1046 | |
Susan M Warring, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 418 Heritage Pl Ste C, Faribault, MN 55021 Phone: 507-301-8677 | |
Lucy Baquero Oja, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 410 Central Ave N, Faribault, MN 55021 Phone: 507-331-3454 |