Ms Melanie L Heitkamp, LICSW | |
217 W Rosser Ave, Bismarck, ND 58501-3755 | |
(701) 255-6909 | |
(701) 255-3922 |
Full Name | Ms Melanie L Heitkamp |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 217 W Rosser Ave, Bismarck, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992919229 | NPI | - | NPPES |
023892 | Other | BCBS OF ND | |
6192001 | Other | GROUP BCBS ND | |
19157 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 852 (North Dakota) | Primary |
Entity Name | Mountain-plains Youth Services Coalition |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306042098 PECOS PAC ID: 8527400555 Enrollment ID: O20240522003158 |
Mailing Address | Practice Location Address |
---|---|
Ms Melanie L Heitkamp, LICSW 217 W Rosser Ave, Bismarck, ND 58501-3755 Ph: (701) 255-6909 | Ms Melanie L Heitkamp, LICSW 217 W Rosser Ave, Bismarck, ND 58501-3755 Ph: (701) 255-6909 |
Brooke Leanne Joritz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 State St Ste F, Bismarck, ND 58503 Phone: 701-895-4685 | |
Kellie Hoffman, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 619 Riverwood Dr Ste 105, Bismarck, ND 58504 Phone: 701-224-9751 | |
Jackie Marie Lelm, LICSW, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1237 W Divide Ave, Ste 5, Bismarck, ND 58501 Phone: 701-328-8843 Fax: 701-328-8900 | |
Darla J Stafford, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1800 E Interstate Ave Ste B, Bismarck, ND 58503 Phone: 701-323-6543 Fax: 701-323-5492 | |
Elisabeth Oldham, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1310 E Main Ave, Bismarck, ND 58501 Phone: 701-530-7195 | |
Debra M. Bosch, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1701 Burnt Boat Dr, Second Floor, Bismarck, ND 58503 Phone: 701-323-0924 Fax: 701-323-0935 | |
Nikki Marie Mundahl, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 315 N 11th St, Bismarck, ND 58501 Phone: 218-329-7097 |