| Abigail Goskeson | |
|
117 S Newton Ave Albert Lea MN 56007-2524 | |
| (507) 383-6872 | |
| Not Available |
| Full Name | Abigail Goskeson |
|---|---|
| Speciality | Social Worker |
| Location | 117 S Newton Ave, Albert Lea, Minnesota |
| Authorized Official Name and Position | Abigail Goskeson (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5074733995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abigail Goskeson 117 S Newton Ave Albert Lea MN 56007-2524 Ph: (507) 473-3995 | Abigail Goskeson 117 S Newton Ave Albert Lea MN 56007-2524 Ph: (507) 383-6872 |
| NPI Number | 1154918506 |
|---|---|
| Provider Enumeration Date | 12/30/2020 |
| Last Update Date | 09/20/2022 |
| Certification Date | 09/20/2022 |
| Medicare PECOS PAC ID | 0345655114 |
|---|---|
| Medicare Enrollment ID | O20210209002735 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154918506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Abigail Goskeson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902469562 PECOS PAC ID: 9133453012 Enrollment ID: I20190626002704 |
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