Ms Tiffany Marie Thayer Grant, LICSW | |
2550 University Ave W, Suite 229n, Saint Paul, MN 55114-1052 | |
(651) 645-3115 | |
(651) 645-2752 |
Full Name | Ms Tiffany Marie Thayer Grant |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 23 Years |
Location | 2550 University Ave W, Saint Paul, Minnesota |
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 |
---|---|---|---|
1467553230 | NPI | - | NPPES |
218630600 | Medicaid | MN | |
41-1576550 | Other | PRACTICE FED TAX ID# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 15733 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Psych Recovery Inc | 3779633912 | 21 |
Entity Name | Psych Recovery Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316189541 PECOS PAC ID: 3779633912 Enrollment ID: O20090610000426 |
Mailing Address | Practice Location Address |
---|---|
Ms Tiffany Marie Thayer Grant, LICSW 71 Birnamwood Dr, Burnsville, MN 55337-6812 Ph: (612) 273-3725 | Ms Tiffany Marie Thayer Grant, LICSW 2550 University Ave W, Suite 229n, Saint Paul, MN 55114-1052 Ph: (651) 645-3115 |
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 |