Ms Susan Jean Anderson, LCSW | |
2605 Circle Dr, Jamestown, ND 58401-6905 | |
(701) 253-3826 | |
Not Available |
Full Name | Ms Susan Jean Anderson |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 11 Years |
Location | 2605 Circle Dr, Jamestown, North Dakota |
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 |
---|---|---|---|
1447851605 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2802 (North Dakota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Innovis Health Llc | 9931298155 | 478 |
Entity Name | South Central Human Service Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225075906 PECOS PAC ID: 2365420262 Enrollment ID: O20040708000481 |
Entity Name | Innovis Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215125463 PECOS PAC ID: 9931298155 Enrollment ID: O20071211000158 |
Mailing Address | Practice Location Address |
---|---|
Ms Susan Jean Anderson, LCSW 2605 Circle Dr, Jamestown, ND 58401-6905 Ph: (701) 253-3826 | Ms Susan Jean Anderson, LCSW 2605 Circle Dr, Jamestown, ND 58401-6905 Ph: (701) 253-3826 |
Chelsea Modlin, LSCW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 520 3rd St Nw, Jamestown, ND 58401 Phone: 701-253-6300 Fax: 701-253-6400 | |
John Joseph Weber, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 520 3rd St Nw, Jamestown, ND 58401 Phone: 701-253-6308 Fax: 701-253-6400 | |
Tim Hart, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 520 3rd St Nw, Box 2055, Jamestown, ND 58401 Phone: 701-253-6300 Fax: 701-253-6400 | |
Mr. Dennis O Anderson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 520 3rd St Nw, Jamestown, ND 58402 Phone: 701-253-6300 Fax: 701-253-6400 | |
Michael A Haukaas, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 520 3rd St Nw, Jamestown, ND 58401 Phone: 701-253-6300 Fax: 701-253-6308 | |
Petra Thysell, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 520 3rd St Nw, Jamestown, ND 58401 Phone: 701-253-6300 |