Sara Nicole Pogue, LICSW | |
7580 160th St W, Lakeville, MN 55044-8348 | |
(952) 898-1133 | |
Not Available |
Full Name | Sara Nicole Pogue |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 7580 160th St W, Lakeville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659928125 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 24885 (Minnesota) | Primary |
Entity Name | Wild Tree Psychotherapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528451408 PECOS PAC ID: 8426408881 Enrollment ID: O20231227001431 |
Mailing Address | Practice Location Address |
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Sara Nicole Pogue, LICSW 3532 5th Ave S, Minneapolis, MN 55408-4531 Ph: (612) 239-8811 | Sara Nicole Pogue, LICSW 7580 160th St W, Lakeville, MN 55044-8348 Ph: (952) 898-1133 |
Jamie Hackett, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 7580 160th St W, Lakeville, MN 55044 Phone: 952-898-1133 | |
Amy Lynn Parker, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7580 160th St W, Lakeville, MN 55044 Phone: 952-898-1133 | |
Alexa Rae Just, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 17685 Juniper Path Ste 301, Lakeville, MN 55044 Phone: 952-214-8959 | |
Mariana Pereyra-pitts, LICSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18432 Kenrick Ave, Lakeville, MN 55044 Phone: 952-992-6703 | |
Mrs. Heidi Sklenar, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10657 165th St W, Lakeville, MN 55044 Phone: 507-581-1832 | |
Ms. Faduma Farah Mohamed, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17685 Juniper Path Ste 303, Lakeville, MN 55044 Phone: 952-214-8959 | |
Mr. Richard Joseph Obershaw, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20055 Hoya Ct, Lakeville, MN 55044 Phone: 612-867-4866 |