Kimberly A Willis, MSW | |
101 Dehler Dr, Sartell, MN 56377-4407 | |
(320) 253-3512 | |
(320) 253-1037 |
Full Name | Kimberly A Willis |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 11 Years |
Location | 101 Dehler Dr, Sartell, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629581251 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 23294 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Nystrom And Associates Ltd | 6406752492 | 381 |
Entity Name | Nystrom & Associates Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
Mailing Address | Practice Location Address |
---|---|
Kimberly A Willis, MSW 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 Ph: (651) 628-9566 | Kimberly A Willis, MSW 101 Dehler Dr, Sartell, MN 56377-4407 Ph: (320) 253-3512 |
Michelle Lynn Kaiser, M.S., LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Dehler Dr, Sartell, MN 56377 Phone: 320-253-3512 | |
Ellen Ashley Allen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Dehler Dr, Sartell, MN 56377 Phone: 320-253-3512 | |
David C Rankin, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Dehler Dr, Sartell, MN 56377 Phone: 320-253-3512 | |
Lydia Helen Fruth, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 2380 Troop Dr Unit 201, Sartell, MN 56377 Phone: 763-633-5111 | |
Ms. Allison Page Fassler, BS, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Dehler Dr, Sartell, MN 56377 Phone: 320-253-3512 | |
Megan Ann Corrieri, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 14th Ave E, Sartell, MN 56377 Phone: 320-202-1400 Fax: 320-202-8662 | |
Gwen Gareri, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Dehler Dr, Sartell, MN 56377 Phone: 320-253-3512 |