| Ken Traen & Associates | |
|
631 Cleveland Ave S Saint Paul MN 55116-1244 | |
| (651) 760-3957 | |
| Not Available |
| Full Name | Ken Traen & Associates |
|---|---|
| Speciality | Social Worker |
| Location | 631 Cleveland Ave S, Saint Paul, Minnesota |
| Authorized Official Name and Position | Kenneth Raymond Traen (OWNER, LICSW) |
| Authorized Official Contact | 6124142533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ken Traen & Associates 1976 Montreal Avenue St Paul MN 55116 Ph: (612) 414-2533 | Ken Traen & Associates 631 Cleveland Ave S Saint Paul MN 55116-1244 Ph: (651) 760-3957 |
| NPI Number | 1457602781 |
|---|---|
| Provider Enumeration Date | 09/26/2012 |
| Last Update Date | 01/11/2024 |
| Certification Date | 01/11/2024 |
| Medicare PECOS PAC ID | 0345494712 |
|---|---|
| Medicare Enrollment ID | O20130212000382 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457602781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kenneth R Traen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134291024 PECOS PAC ID: 0143474510 Enrollment ID: I20130212000415 |
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