Evan Fredrick Lieberman, LADC, LGSW is a
Social Worker - Clinical based in Saint Paul, Minnesota. Evan Fredrick Lieberman is licensed to practice in Minnesota (license number 25758) and his current practice location is
501 Selby Avenue, Saint Paul, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(847) 721-5639.
NPI number for Evan Fredrick Lieberman is 1245781608 and his current mailing address is 618 Adams St Ne # 1, Minneapolis, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245781608.
Healthcare Provider's Profile
Full Name | Evan Fredrick Lieberman |
---|
Gender | Male |
---|
Speciality | Social Worker - Clinical |
---|
Location | 501 Selby Avenue, Saint Paul, Minnesota |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245781608
- Provider Enumeration Date: 10/20/2016
- Last Update Date: 11/29/2021
Medical Identifiers
Medical identifiers for Evan Fredrick Lieberman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245781608 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 303715 (Minnesota) | Secondary |
1041C0700X | Social Worker - Clinical | 25758 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Evan Fredrick Lieberman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Evan Fredrick Lieberman, LADC, LGSW 618 Adams St Ne # 1, Minneapolis, MN 55413-2144 Ph: (847) 721-5639 | Evan Fredrick Lieberman, LADC, LGSW 501 Selby Avenue, Saint Paul, MN 55102-5510 Ph: (847) 721-5639 |
Reviews and Comments