| Nathan & Associates, Llc | |
|
2233 Hamline Ave N Ste 435 Roseville MN 55113-5023 | |
| (612) 708-7712 | |
| Not Available |
| Full Name | Nathan & Associates, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2233 Hamline Ave N Ste 435, Roseville, Minnesota |
| Authorized Official Name and Position | Nathan Rauschendorfer (MSW, LICSW/OWNER) |
| Authorized Official Contact | 6127087712 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan & Associates, Llc 2434 Hazelwood St Maplewood MN 55109-2028 Ph: () - | Nathan & Associates, Llc 2233 Hamline Ave N Ste 435 Roseville MN 55113-5023 Ph: (612) 708-7712 |
| NPI Number | 1982123345 |
|---|---|
| Provider Enumeration Date | 09/15/2017 |
| Last Update Date | 09/20/2017 |
| Medicare PECOS PAC ID | 3274890140 |
|---|---|
| Medicare Enrollment ID | O20171130002331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982123345 | NPI | - | NPPES |
| 1041C0700X | Other | MN | TAXONOMY CODE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 17535 (Minnesota) | Primary |
| Provider Name | Jean Gregg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073611315 PECOS PAC ID: 1850392739 Enrollment ID: I20070119000090 |
| Provider Name | Nathan T Rauschendorfer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235382169 PECOS PAC ID: 9931247111 Enrollment ID: I20091109000305 |
| Provider Name | Monica L Sowden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992052237 PECOS PAC ID: 1052552825 Enrollment ID: I20130722000358 |
| Provider Name | Neil A Greco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497084339 PECOS PAC ID: 0446531131 Enrollment ID: I20170112000760 |
| Provider Name | Jean Louise Fagerstrom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861963118 PECOS PAC ID: 9032458070 Enrollment ID: I20190308001161 |
| Provider Name | Natalie J Kenyon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528600145 PECOS PAC ID: 0749512622 Enrollment ID: I20191025000962 |
| Provider Name | Nichole Marie Sommerhauser Kubes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1851922009 PECOS PAC ID: 9830631878 Enrollment ID: I20240606000632 |
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