Taylor Jo Johnson, LICSW | |
510 Sibley St, Mankato, MN 56001-2056 | |
(507) 484-2400 | |
Not Available |
Full Name | Taylor Jo Johnson |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 510 Sibley St, Mankato, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487371332 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 27851 (Minnesota) | Primary |
Entity Name | Leo A Hoffmann Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407376072 PECOS PAC ID: 6709117500 Enrollment ID: O20200113001208 |
Mailing Address | Practice Location Address |
---|---|
Taylor Jo Johnson, LICSW 690 7th St Sw, Wells, MN 56097-1202 Ph: (507) 525-1646 | Taylor Jo Johnson, LICSW 510 Sibley St, Mankato, MN 56001-2056 Ph: (507) 484-2400 |
Lacy Osborne, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 100 Warren St # 324, Mankato, MN 56001 Phone: 507-227-4858 Fax: 507-519-2271 | |
Michele J. Larson, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 104 Serra St, Mankato, MN 56001 Phone: 608-577-5742 | |
Tammy M Gagnon, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 Civic Center Plz Ste 1615, Mankato, MN 56001 Phone: 507-345-4679 Fax: 507-345-8685 | |
Anna Marie Johanson, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1400 Madison Ave Ste 352, Mankato, MN 56001 Phone: 507-387-3195 | |
Nicole Kristina Lidstrom, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-594-2468 | |
Carrie Ann Leggett, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-400-4706 | |
Karen Hernandez, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 226 N Broad St Ste 101, Mankato, MN 56001 Phone: 507-931-8040 Fax: 507-931-8060 |