| Nicole Kristina Lidstrom, LICSW | |
|
1025 Marsh St, Mankato, MN 56001-4752 | |
| (507) 594-2468 | |
| Not Available |
| Full Name | Nicole Kristina Lidstrom |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1025 Marsh St, Mankato, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033947601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 26622 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Kristina Lidstrom, LICSW 1025 Marsh St, Mankato, MN 56001-4752 Ph: (507) 625-4031 | Nicole Kristina Lidstrom, LICSW 1025 Marsh St, Mankato, MN 56001-4752 Ph: (507) 594-2468 |
K. Robin Newcombe Nelson, LADC, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-3372 | |
Lacy Osborne, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 100 Warren St # 345, Mankato, MN 56001 Phone: 507-227-4858 Fax: 507-519-2271 | |
Michele J. Larson, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 104 Serra St, Mankato, MN 56001 Phone: 608-577-5742 | |
Tammy M Gagnon, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 Civic Center Plz Ste 1615, Mankato, MN 56001 Phone: 507-345-4679 Fax: 507-345-8685 | |
Anna Marie Johanson, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1400 Madison Ave Ste 352, Mankato, MN 56001 Phone: 507-387-3195 | |
Carrie Ann Leggett, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-400-4706 |