Jennifer Leigh Vlach, LICSW | |
6425 Nicollet Ave, Richfield, MN 55423-1668 | |
(612) 861-1675 | |
(612) 861-3446 |
Full Name | Jennifer Leigh Vlach |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 31 Years |
Location | 6425 Nicollet Ave, Richfield, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184692949 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 12459 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Memorial Health | Robbinsdale, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Memorial Health Care | 0042123028 | 474 |
Choices Psychotherapy Ltd | 8426064338 | 18 |
Entity Name | North Memorial Health Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851344907 PECOS PAC ID: 0042123028 Enrollment ID: O20040122000470 |
Entity Name | Choices Psychotherapy Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134171127 PECOS PAC ID: 8426064338 Enrollment ID: O20060302000127 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Leigh Vlach, LICSW 733 Rucks Farm Rd, Delano, MN 55328-8733 Ph: (763) 786-1425 | Jennifer Leigh Vlach, LICSW 6425 Nicollet Ave, Richfield, MN 55423-1668 Ph: (612) 861-1675 |
Claire Niessen-derry, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6625 Lyndale Ave S Ste 200, Richfield, MN 55423 Phone: 320-309-5910 | |
Alexandra Subbaraman, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6625 Lyndale Ave S Ste 440, Richfield, MN 55423 Phone: 612-712-7200 | |
Marnie K Carlson, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2400 W 64th St, Richfield, MN 55423 Phone: 612-767-7907 | |
Jan Marie Johnson, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6625 Lyndale Ave S Ste 500, Richfield, MN 55423 Phone: 612-886-3706 | |
Leah Anne Kiefer, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6820 Garfield Ave, Richfield, MN 55423 Phone: 507-720-4696 | |
Kevin P Callaghan, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1515 E 66th St, Richfield, MN 55423 Phone: 763-545-6558 |