Dr Ken Ujifusa, PSYD is a
Social Worker physician based in St Louis Park, Minnesota. Dr Ken Ujifusa is licensed to practice in Minnesota (license number 7187) and his current practice location is 1665 Utica Ave S Ste 100, St Louis Park, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(952) 541-2500.
NPI number for Dr Ken Ujifusa is 1528265576 and his current mailing address is 8170 33rd Ave S, Ms 21110q, Bloomington, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528265576.
Physician's Profile
| Full Name | Dr Ken Ujifusa |
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| Gender | Male |
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| Speciality | Social Worker |
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| Location | 1665 Utica Ave S Ste 100, St Louis Park, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1528265576
- Provider Enumeration Date: 07/02/2007
- Last Update Date: 07/29/2021
Medical Identifiers
Medical identifiers for Dr Ken Ujifusa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528265576 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 166404 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 07187 (Minnesota) | Secondary |
| 104100000X | Social Worker | 7187 (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. Dr Ken Ujifusa 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 |
|---|
Dr Ken Ujifusa, PSYD
8170 33rd Ave S, Ms 21110q,
Bloomington, MN 55425-4516
Ph: () - | Dr Ken Ujifusa, PSYD
1665 Utica Ave S Ste 100,
St Louis Park, MN 55416-3476
Ph: (952) 541-2500 |
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