| Evolving Woman Enterprises, Inc. | |
|
7300 Metro Blvd Suite 455 Edina MN 55439-2328 | |
| (952) 835-1616 | |
| (952) 835-6182 |
| Full Name | Evolving Woman Enterprises, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 7300 Metro Blvd, Edina, Minnesota |
| Authorized Official Name and Position | Gina Rachel Schuchman (OWNER) |
| Authorized Official Contact | 9528351616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolving Woman Enterprises, Inc. 7300 Metro Blvd Suite 455 Edina MN 55439-2303 Ph: (952) 835-1616 | Evolving Woman Enterprises, Inc. 7300 Metro Blvd Suite 455 Edina MN 55439-2328 Ph: (952) 835-1616 |
| NPI Number | 1013099191 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 11/15/2012 |
| Medicare PECOS PAC ID | 0143308502 |
|---|---|
| Medicare Enrollment ID | O20080425000043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013099191 | NPI | - | NPPES |
| 309863000 | Other | MN | MN HEALTH CARE PROGRAMS |
| 472358 | Other | MN | VALUE OPTIONS |
| 6262616 | Other | MN | UNITED BEHAVIORAL HEALTH |
| HP36730 | Other | MN | HEALTHPARTNERS |
| 250597 | Other | MN | MHN |
| 250597 | Other | MN | MANAGED HEALTH NETWORK |
| 263K2SC | Other | MN | BLUE CROSS/BLUE SHIELD |
| 410958868 0069 | Other | MN | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 778 (Minnesota) | Primary |
| Provider Name | Gina R Schuchman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114014016 PECOS PAC ID: 9133171424 Enrollment ID: I20050215000590 |
| Provider Name | Esther M Vogelzang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710559703 PECOS PAC ID: 9931507167 Enrollment ID: I20211001001542 |
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