Timothy Coredon Lucas, LICSW | |
1125 6th Street Se, Woodland Centers, Willmar, MN 56201-4675 | |
(320) 231-9148 | |
(320) 231-9140 |
Full Name | Timothy Coredon Lucas |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 34 Years |
Location | 1125 6th Street Se, Willmar, Minnesota |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376602334 | NPI | - | NPPES |
115361 | Other | UCARE | |
6H675LU | Other | BLUE CROSS | |
1013106 | Other | PREFERRED ONE | |
6230516 | Other | UBH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 10148 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Knutson Counseling And Seminars, Inc. | 6800925157 | 2 |
Entity Name | Knutson Counseling & Seminars, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568784668 PECOS PAC ID: 6800925157 Enrollment ID: O20100525000096 |
Mailing Address | Practice Location Address |
---|---|
Timothy Coredon Lucas, LICSW 172 Lakeview Drive, Spicer, MN 56288 Ph: (320) 235-4613 | Timothy Coredon Lucas, LICSW 1125 6th Street Se, Woodland Centers, Willmar, MN 56201-4675 Ph: (320) 231-9148 |
Cheryl Block Hansen, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 502 2nd St Sw, Willmar, MN 56201 Phone: 320-235-7232 | |
Jenna Prusa, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 513 5th St Sw, Willmar, MN 56201 Phone: 320-214-9692 Fax: 320-214-9924 | |
Becca Warne, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1125 6th St Se, Willmar, MN 56201 Phone: 320-235-4613 | |
Mr. Barry Leroy Evans, MASTER SOCIAL WORK Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1125 6th Street Se, Woodland Centers, Willmar, MN 56201 Phone: 320-231-9148 Fax: 320-231-9140 | |
Taylor Madsen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1125 6th St Se, Willmar, MN 56201 Phone: 320-235-4613 | |
Mrs. Brenda Jean Hubers, MSW, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1604 1st St S, #225, Willmar, MN 56201 Phone: 320-905-4163 | |
David Anthony Munson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1125 6th St Se, Willmar, MN 56201 Phone: 320-235-4613 Fax: 320-231-9141 |