Mary Lindstrom Amundson, is a
Social Worker - Clinical based in Detroit Lakes, Minnesota. Mary Lindstrom Amundson is licensed to practice in Minnesota (license number 11297) and her current practice location is
1104 W River Rd, Detroit Lakes, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(218) 844-6853.
NPI number for Mary Lindstrom Amundson is 1205215159 and her current mailing address is 891 Belsly Blvd, Moorhead, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205215159.
Healthcare Provider's Profile
| Full Name | Mary Lindstrom Amundson |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1104 W River Rd, Detroit Lakes, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1205215159
- Provider Enumeration Date: 05/26/2015
- Last Update Date: 08/02/2018
Medical Identifiers
Medical identifiers for Mary Lindstrom Amundson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205215159 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 11297 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 11297 (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. Mary Lindstrom Amundson 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 |
|---|
Mary Lindstrom Amundson,
891 Belsly Blvd,
Moorhead, MN 56560-5055
Ph: (218) 287-4338 | Mary Lindstrom Amundson,
1104 W River Rd,
Detroit Lakes, MN 56501
Ph: (218) 844-6853 |
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