Patrick Lenertz, LICSW | |
2903 15th St S, Moorhead, MN 56560-5111 | |
(218) 331-2001 | |
Not Available |
Full Name | Patrick Lenertz |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 2903 15th St S, Moorhead, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285384925 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 21609 (Minnesota) | Primary |
Entity Name | Ccri, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295870699 PECOS PAC ID: 2769527605 Enrollment ID: O20100303000929 |
Mailing Address | Practice Location Address |
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Patrick Lenertz, LICSW 2903 15th St S, Moorhead, MN 56560-5111 Ph: () - | Patrick Lenertz, LICSW 2903 15th St S, Moorhead, MN 56560-5111 Ph: (218) 331-2001 |
Deborah Ann Bialik, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2405 8th St S Ste 200, Moorhead, MN 56560 Phone: 218-331-4866 | |
Mr. Craig L. Weickert, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1010 32nd Ave S, Moorhead, MN 56560 Phone: 218-233-7524 Fax: 218-233-8627 | |
Lindsey Ness, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1547 30th Ave S, Moorhead, MN 56560 Phone: 218-287-4338 | |
Sharon Staton, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 Center Ave, Moorhead, MN 56560 Phone: 218-233-3991 | |
Ms. Jennifer Jo Faul, LCSW IN ND LGSW IN M Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2925 20th St S, Moorhead, MN 56560 Phone: 218-284-0300 Fax: 218-284-5944 | |
Brian John Martin, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1010 32nd Ave S, Moorhead, MN 56560 Phone: 218-223-7524 | |
Abby Lynn Steer, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1010 32nd Ave S, Moorhead, MN 56560 Phone: 218-233-7524 Fax: 218-233-8627 |