Traci Lyn Hakanson, LISCW | |
301 Fuller St S, Shakopee, MN 55379-1322 | |
(612) 280-3048 | |
Not Available |
Full Name | Traci Lyn Hakanson |
---|---|
Gender | Female |
Speciality | Social Worker |
Location | 301 Fuller St S, Shakopee, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225166135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 9015-123 (Wisconsin) | Secondary |
104100000X | Social Worker | 15625 (Minnesota) | Primary |
Entity Name | Fairview Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Entity Name | Healtheast Woodwinds Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356309322 PECOS PAC ID: 9638082563 Enrollment ID: O20031107000110 |
Entity Name | Healtheast Medical Research Institute |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
Entity Name | Healtheast St Joseph's Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134186273 PECOS PAC ID: 2365348869 Enrollment ID: O20031208000245 |
Entity Name | Healtheast St John's Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447218482 PECOS PAC ID: 9234035742 Enrollment ID: O20031208000320 |
Entity Name | Fairview Express Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Entity Name | Pinnacle Behavioral Healthcare, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356629232 PECOS PAC ID: 3274793807 Enrollment ID: O20120320000021 |
Entity Name | Behavioral Healthcare Providers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912066218 PECOS PAC ID: 8426374232 Enrollment ID: O20150312002305 |
Mailing Address | Practice Location Address |
---|---|
Traci Lyn Hakanson, LISCW 17439 Isleton Ave, Lakeville, MN 55044-9693 Ph: (612) 280-3048 | Traci Lyn Hakanson, LISCW 301 Fuller St S, Shakopee, MN 55379-1322 Ph: (612) 280-3048 |
Katelyn Rose Weckwerth, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 200 4th Ave W Ste 300, Shakopee, MN 55379 Phone: 952-496-8698 | |
Sarah Underdahl, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 4th Ave W Ste 300, Shakopee, MN 55379 Phone: 952-496-8457 Fax: 952-496-8355 | |
Ms. Kim Harmon, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 200 4th Ave W, Government Center Rm 300, Shakopee, MN 55379 Phone: 952-496-8155 Fax: 952-496-8355 | |
Jacquelyn Lee Kerkow-dohmen, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 500 Marschall Rd Ste 100, Shakopee, MN 55379 Phone: 952-448-6557 Fax: 952-448-6047 | |
Karen Jensen, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 301 Fuller St S, Shakopee, MN 55379 Phone: 952-818-3703 Fax: 952-818-3708 | |
Allison Thorson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4572 Bulrush Blvd, Shakopee, MN 55379 Phone: 701-426-0693 |