Taylor Bridgeman, | |
5555 Boone Ave N, New Hope, MN 55428-3636 | |
(651) 774-0011 | |
(651) 774-0606 |
Full Name | Taylor Bridgeman |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 5555 Boone Ave N, New Hope, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912611476 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 29078 (Minnesota) | Primary |
Entity Name | People Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215104831 PECOS PAC ID: 7012043540 Enrollment ID: O20100409000071 |
Entity Name | Fraser Child And Family Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609922194 PECOS PAC ID: 3971918772 Enrollment ID: O20210208002399 |
Mailing Address | Practice Location Address |
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Taylor Bridgeman, 2904 Lyndale Ave S Apt 332, Minneapolis, MN 55408-4886 Ph: (612) 597-4939 | Taylor Bridgeman, 5555 Boone Ave N, New Hope, MN 55428-3636 Ph: (651) 774-0011 |
Tara Noelle Tappe, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9220 Bass Lake Rd Ste 255, New Hope, MN 55428 Phone: 763-225-4052 | |
Katie Suzanne Perzel, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9220 Bass Lake Rd Ste 255, New Hope, MN 55428 Phone: 763-225-4052 | |
Jaleesa Lenoir, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5555 Boone Ave N, New Hope, MN 55428 Phone: 651-774-0011 Fax: 651-774-0606 | |
Farah Ahamed Noorani, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5555 Boone Ave N, New Hope, MN 55428 Phone: 651-774-0011 Fax: 651-774-0606 | |
Hannah Claire Langholz, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5555 Boone Ave N, New Hope, MN 55428 Phone: 651-774-0011 Fax: 651-774-0606 | |
Bree Lynn Meduna, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5555 Boone Ave N, New Hope, MN 55428 Phone: 651-774-0011 Fax: 651-774-0606 | |
Jennifer Egeland, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5555 Boone Ave N, New Hope, MN 55428 Phone: 763-504-7893 |