| Covered Bridge Family Resources Llc | |
|
77 West 5th Street Zumbrota MN 55992 | |
| (507) 732-4136 | |
| (507) 732-4411 |
| Full Name | Covered Bridge Family Resources Llc |
|---|---|
| Speciality | Social Worker |
| Location | 77 West 5th Street, Zumbrota, Minnesota |
| Authorized Official Name and Position | Andrea Kristin Smothers (OWNER) |
| Authorized Official Contact | 5077324136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Covered Bridge Family Resources Llc Po Box 134 Zumbrota MN 55992 Ph: (507) 732-4136 | Covered Bridge Family Resources Llc 77 West 5th Street Zumbrota MN 55992 Ph: (507) 732-4136 |
| NPI Number | 1245258722 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9133194921 |
|---|---|
| Medicare Enrollment ID | O20040826000264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245258722 | NPI | - | NPPES |
| 94362 | Other | HEALTH PTNRS | |
| 131914 | Other | U CARE | |
| 694S3CO | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Andrea K Smothers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700813623 PECOS PAC ID: 0840265633 Enrollment ID: I20040826000316 |
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Beran Consulting Services Lcc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 W 5th St, Zumbrota, MN 55992 Phone: 507-201-2258 |