Ms Nicolette Ann Erchul, LICSW | |
1360 Energy Park Dr Ste 340, Saint Paul, MN 55108-5298 | |
(651) 646-8985 | |
Not Available |
Full Name | Ms Nicolette Ann Erchul |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 14 Years |
Location | 1360 Energy Park Dr Ste 340, Saint Paul, 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 |
---|---|---|---|
1598102873 | NPI | - | NPPES |
H400139162 | Other | MN | MEDICARE PTAN |
006958400 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 20517 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lyn-lake Psychotherapy And Wellness Ltd | 9638581291 | 35 |
Entity Name | Lyn-lake Psychotherapy And Wellness Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609355163 PECOS PAC ID: 9638581291 Enrollment ID: O20201224000071 |
Mailing Address | Practice Location Address |
---|---|
Ms Nicolette Ann Erchul, LICSW 621 W Lake St, Ste 350, Minneapolis, MN 55408-2952 Ph: (612) 979-2276 | Ms Nicolette Ann Erchul, LICSW 1360 Energy Park Dr Ste 340, Saint Paul, MN 55108-5298 Ph: (651) 646-8985 |
Mr. Michael Joseph O'neill, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1919 University Ave W, Saint Paul, MN 55104 Phone: 651-266-7900 Fax: 651-266-7850 | |
Ms. Sharon Kay Geiger, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1919 University Ave W, Saint Paul, MN 55104 Phone: 651-266-7978 | |
Mrs. Karen Anne Stevensen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2469 University Ave W, Saint Paul, MN 55114 Phone: 612-720-5083 | |
Kathleen Lombardi, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1919 University Ave W Ste 200, Saint Paul, MN 55104 Phone: 651-266-7900 | |
Ms. Sherie Lou Bosak, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 821 Raymond Ave, #300, Saint Paul, MN 55114 Phone: 651-645-0438 Fax: 651-647-0659 | |
Helen Jane Gammon, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-2766 | |
Ken Wilfred Schmitz, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2469 University Ave W, Saint Paul, MN 55114 Phone: 651-659-0294 |