| Dbt Associates | |
|
7362 University Ave Ne Suite 101 Fridley MN 55432-3142 | |
| (763) 503-3981 | |
| (763) 503-3981 |
| Full Name | Dbt Associates |
|---|---|
| Speciality | Counselor |
| Location | 7362 University Ave Ne, Fridley, Minnesota |
| Authorized Official Name and Position | Anne Marie Gresham (MANAGING PARTNER) |
| Authorized Official Contact | 7635033981 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dbt Associates 7362 University Ave Ne Suite 101 Fridley MN 55432-3142 Ph: (763) 503-3981 | Dbt Associates 7362 University Ave Ne Suite 101 Fridley MN 55432-3142 Ph: (763) 503-3981 |
| NPI Number | 1639104193 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 05/13/2008 |
| Medicare PECOS PAC ID | 6800889577 |
|---|---|
| Medicare Enrollment ID | O20040407000849 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639104193 | NPI | - | NPPES |
| 007014900 | Medicaid | MN | |
| 07F28DI | Other | MN | BLUE CROSS |
| 8G624DI | Other | MN | BLUE CROSS |
| Provider Name | Susan J Venzke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598874703 PECOS PAC ID: 5698768372 Enrollment ID: I20040407000960 |
| Provider Name | Kristen M Fritsinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407864812 PECOS PAC ID: 5890773535 Enrollment ID: I20040709000949 |
| Provider Name | Kimberly Endres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689696130 PECOS PAC ID: 7416965736 Enrollment ID: I20060329000054 |
| Provider Name | Catherine R Johanneck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932470127 PECOS PAC ID: 1052571155 Enrollment ID: I20120328000069 |
| Provider Name | Justine N Lahn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164016275 PECOS PAC ID: 9133521131 Enrollment ID: I20210714000117 |
| Provider Name | Matthew Elfmann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518623842 PECOS PAC ID: 6204272339 Enrollment ID: I20240312002595 |
| Provider Name | Ellen Catherine Gish |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336653096 PECOS PAC ID: 4587994173 Enrollment ID: I20240409003569 |
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