Mrs Tricia May Johnson, LICSW | |
1715 Sheppard Dr, Saint Peter, MN 56082-2539 | |
(507) 934-7788 | |
Not Available |
Full Name | Mrs Tricia May Johnson |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 9 Years |
Location | 1715 Sheppard Dr, Saint Peter, Minnesota |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700375623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 22335 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Leo A Hoffmann Center Inc | 6709117500 | 3 |
Entity Name | Leo A Hoffmann Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407376072 PECOS PAC ID: 6709117500 Enrollment ID: O20200113001208 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tricia May Johnson, LICSW Po Box 60, Saint Peter, MN 56082-0060 Ph: (507) 934-7788 | Mrs Tricia May Johnson, LICSW 1715 Sheppard Dr, Saint Peter, MN 56082-2539 Ph: (507) 934-7788 |
Brenda Todd-bense, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 116 S 3rd St, Saint Peter, MN 56082 Phone: 507-931-8040 | |
Michelle Olivia Olund Youngberg, LGSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1306 Marshall St, Saint Peter, MN 56082 Phone: 507-931-8040 Fax: 507-931-8040 | |
Tiana Monique Fitzsimmons, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1306 Marshall St, Saint Peter, MN 56082 Phone: 507-931-8040 Fax: 507-931-8060 | |
Beth Leavitt, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 116 S 3rd St, Saint Peter, MN 56082 Phone: 507-931-8040 Fax: 507-931-8060 | |
Peggy Sorensen, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1306 Marshall St, Saint Peter, MN 56082 Phone: 507-931-8040 Fax: 507-931-8060 | |
Ms. Sheri Lynn Tillson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 116 S 3rd St, Saint Peter, MN 56082 Phone: 507-931-8040 Fax: 507-931-8060 | |
Mary Monique Sebring, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1306 Marshall St, Saint Peter, MN 56082 Phone: 507-931-8040 Fax: 507-931-8060 |