Paige Kavanagh, LICSW | |
413 Se 13th St, Grand Rapids, MN 55744-0015 | |
(218) 327-3000 | |
Not Available |
Full Name | Paige Kavanagh |
---|---|
Gender | Female |
Speciality | Social Worker |
Location | 413 Se 13th St, Grand Rapids, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174204804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 28841 (Minnesota) | Secondary |
104100000X | Social Worker | 28841 (Minnesota) | Primary |
Entity Name | North Homes Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790826550 PECOS PAC ID: 0648279554 Enrollment ID: O20061204000071 |
Entity Name | Richard Kneip, Ph.d., P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679739700 PECOS PAC ID: 4880768415 Enrollment ID: O20221117000817 |
Mailing Address | Practice Location Address |
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Paige Kavanagh, LICSW 303 Se 1st St, Grand Rapids, MN 55744-3681 Ph: (218) 322-4101 | Paige Kavanagh, LICSW 413 Se 13th St, Grand Rapids, MN 55744-0015 Ph: (218) 327-3000 |
Mr. Michael Harbin, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35382 Us Highway 2, Grand Rapids, MN 55744 Phone: 218-327-4886 Fax: 218-327-4848 | |
Drusilea Donato, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 413 Se 13th St, Grand Rapids, MN 55744 Phone: 218-999-9908 Fax: 218-999-7068 | |
Ms. Lisa Marie Silvestri-adamich, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 35629 Hill Dr, Grand Rapids, MN 55744 Phone: 218-259-9417 | |
Ms. Lisa Jo Corradi, MSW LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1880 River Rd, Grand Rapids, MN 55744 Phone: 218-327-3000 Fax: 218-327-1871 | |
Lynette Schmidt, MSW LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35382 Us Hwy 2, Grand Rapids, MN 55744 Phone: 218-327-4886 Fax: 218-327-4848 | |
Megan Amanda Gerak, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 10 Nw 5th St, Ste 3, Grand Rapids, MN 55744 Phone: 218-250-8687 Fax: 218-203-4782 |