Erin Elizabeth Kelly Dew, MA, LPCC | |
570 Professional Dr, Northfield, MN 55057-2756 | |
(507) 301-3412 | |
Not Available |
Full Name | Erin Elizabeth Kelly Dew |
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Gender | Female |
Speciality | Counselor |
Location | 570 Professional Dr, Northfield, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831890771 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | CC03726 (Minnesota) | Primary |
Entity Name | Secure Base Counseling Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285905885 PECOS PAC ID: 8628409299 Enrollment ID: O20200514001997 |
Mailing Address | Practice Location Address |
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Erin Elizabeth Kelly Dew, MA, LPCC 7603 Wedgewood Way, Maple Grove, MN 55311-2806 Ph: (763) 377-0624 | Erin Elizabeth Kelly Dew, MA, LPCC 570 Professional Dr, Northfield, MN 55057-2756 Ph: (507) 301-3412 |
Gregory Scott Schlichter, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 570 Professional Dr, Northfield, MN 55057 Phone: 507-301-3412 | |
Laura Lee Cain, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 529 Woodley St W, Northfield, MN 55057 Phone: 507-225-0140 Fax: 507-301-5703 | |
Kelly Ann Street, Counselor Medicare: Not Enrolled in Medicare Practice Location: 41 Fareway Dr, Northfield, MN 55057 Phone: 651-278-1406 | |
Ms. Nancy Lynn Gregerson, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 818 College St, Northfield, MN 55057 Phone: 507-663-1638 | |
Jennifer Harris, LADC, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Washington St Ste 221, Northfield, MN 55057 Phone: 612-470-7031 | |
Penny Sue Malecha-nagel, Counselor Medicare: Medicare Enrolled Practice Location: 570 Professional Dr, Northfield, MN 55057 Phone: 507-301-3412 | |
Ms. Sarah B Shippy, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 Division St S, Suite A, Northfield, MN 55057 Phone: 507-664-9407 Fax: 507-664-3862 |