| Stacey Klempnauer Msw, Licsw Inc | |
|
402 Washington St Northfield MN 55057-5190 | |
| (507) 645-0444 | |
| Not Available |
| Full Name | Stacey Klempnauer Msw, Licsw Inc |
|---|---|
| Speciality | Social Worker |
| Location | 402 Washington St, Northfield, Minnesota |
| Authorized Official Name and Position | Stacey Leigh Klempnauer (PSYCHOTHERAPIST) |
| Authorized Official Contact | 5076450444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Klempnauer Msw, Licsw Inc 1904 Michigan Dr Northfield MN 55057-4834 Ph: (507) 645-0444 | Stacey Klempnauer Msw, Licsw Inc 402 Washington St Northfield MN 55057-5190 Ph: (507) 645-0444 |
| NPI Number | 1346850518 |
|---|---|
| Provider Enumeration Date | 08/03/2020 |
| Last Update Date | 08/03/2020 |
| Certification Date | 08/03/2020 |
| Medicare PECOS PAC ID | 5698185072 |
|---|---|
| Medicare Enrollment ID | O20201113002470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346850518 | NPI | - | NPPES |
| 528658100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Stacey L Klempnauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528169554 PECOS PAC ID: 2567468515 Enrollment ID: I20061013000456 |
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