| Centered Practice | |
|
401 Division St S Suite C Northfield MN 55057-2095 | |
| (507) 649-7294 | |
| Not Available |
| Full Name | Centered Practice |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 401 Division St S, Northfield, Minnesota |
| Authorized Official Name and Position | Carrie H Menk (OWNER/THERAPIST) |
| Authorized Official Contact | 5076497294 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centered Practice 401 Division St S Suite C Northfield MN 55057-2095 Ph: (507) 649-7294 | Centered Practice 401 Division St S Suite C Northfield MN 55057-2095 Ph: (507) 649-7294 |
| NPI Number | 1235428665 |
|---|---|
| Provider Enumeration Date | 04/06/2011 |
| Last Update Date | 04/06/2011 |
| Medicare PECOS PAC ID | 8527232198 |
|---|---|
| Medicare Enrollment ID | O20111116000350 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235428665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 14866 (Minnesota) | Primary |
| Provider Name | Caroline H Menk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881814895 PECOS PAC ID: 9638076524 Enrollment ID: I20040805001291 |
| Provider Name | Kari Jo Prestemon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396196945 PECOS PAC ID: 6709161318 Enrollment ID: I20170322002121 |
| Provider Name | Katie Jean Jacobi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164962957 PECOS PAC ID: 8123304417 Enrollment ID: I20171114001378 |
| Provider Name | Kathleen Caron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477548022 PECOS PAC ID: 6406131457 Enrollment ID: I20171117002819 |
| Provider Name | Carla Jane Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063841849 PECOS PAC ID: 9931461779 Enrollment ID: I20180315000333 |
| Provider Name | Susan M Lohmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215435227 PECOS PAC ID: 9335403898 Enrollment ID: I20180509000534 |
| Provider Name | Rebecca Rathjen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356749907 PECOS PAC ID: 4183973043 Enrollment ID: I20180827000548 |
| Provider Name | Shodo Cedar Spring |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114172715 PECOS PAC ID: 7214284843 Enrollment ID: I20191017000785 |
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