Tiana Monique Fitzsimmons, LICSW | |
1306 Marshall St, Saint Peter, MN 56082-4500 | |
(507) 931-8040 | |
(507) 931-8060 |
Full Name | Tiana Monique Fitzsimmons |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1306 Marshall St, Saint Peter, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073014262 | NPI | - | NPPES |
20944 | Other | MN | LICSW |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 20944 (Minnesota) | Primary |
Entity Name | Counseling Services Of Southern Minnesota, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962557496 PECOS PAC ID: 5890696868 Enrollment ID: O20040114000466 |
Mailing Address | Practice Location Address |
---|---|
Tiana Monique Fitzsimmons, LICSW 1306 Marshall St, Saint Peter, MN 56082-4500 Ph: (507) 931-8040 | Tiana Monique Fitzsimmons, LICSW 1306 Marshall St, Saint Peter, MN 56082-4500 Ph: (507) 931-8040 |
Brenda Todd-bense, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 116 S 3rd St, Saint Peter, MN 56082 Phone: 507-931-8040 | |
Michelle Olivia Olund Youngberg, LGSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1306 Marshall St, Saint Peter, MN 56082 Phone: 507-931-8040 Fax: 507-931-8040 | |
Beth Leavitt, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 116 S 3rd St, Saint Peter, MN 56082 Phone: 507-931-8040 Fax: 507-931-8060 | |
Peggy Sorensen, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1306 Marshall St, Saint Peter, MN 56082 Phone: 507-931-8040 Fax: 507-931-8060 | |
Ms. Sheri Lynn Tillson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 116 S 3rd St, Saint Peter, MN 56082 Phone: 507-931-8040 Fax: 507-931-8060 | |
Mary Monique Sebring, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1306 Marshall St, Saint Peter, MN 56082 Phone: 507-931-8040 Fax: 507-931-8060 |