Susan Marie Banal, LICSW | |
5821 Cedar Lake Rd S, St Louis Park, MN 55416-1487 | |
(651) 647-1900 | |
(651) 647-1861 |
Full Name | Susan Marie Banal |
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Gender | Female |
Speciality | Clinical Social Worker |
Experience | 33 Years |
Location | 5821 Cedar Lake Rd S, St Louis Park, 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 |
---|---|---|---|
1629190814 | NPI | - | NPPES |
1629190814 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 9380 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Midwest Center For Personal And Family Development, P.a. | 3173436185 | 14 |
Entity Name | Midwest Center For Personal & Family Development, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285730903 PECOS PAC ID: 3173436185 Enrollment ID: O20031106000433 |
Mailing Address | Practice Location Address |
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Susan Marie Banal, LICSW 4502 Timber Woods Ln, Minnetonka, MN 55345-2973 Ph: () - | Susan Marie Banal, LICSW 5821 Cedar Lake Rd S, St Louis Park, MN 55416-1487 Ph: (651) 647-1900 |
Bethany Lemere Rice, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 5891 Cedar Lake Rd S, St Louis Park, MN 55416 Phone: 206-819-0957 | |
Ms. Susan Reynolds, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4601 Excelsior Blvd Ste 400, St Louis Park, MN 55416 Phone: 952-925-3533 | |
Rachel Kathleen Syring, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1665 Utica Ave S Ste 100, St Louis Park, MN 55416 Phone: 952-541-2682 | |
Kari Marie Palthe Anderson, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3931 Louisiana Ave S, St Louis Park, MN 55426 Phone: 952-993-6086 | |
Mr. George V Baboila, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6600 Excelsior Blvd, Ste 160, St Louis Park, MN 55426 Phone: 952-993-7707 | |
Shelly Grant, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 715 Florida Ave S Ste 307, St Louis Park, MN 55426 Phone: 952-544-6808 Fax: 952-545-0098 | |
Jessica B Arndt, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3123 Fax: 952-993-3286 |