Kallie Joy Bennett, | |
14301 Ewing Ave S, Burnsville, MN 55306-4885 | |
(952) 746-5350 | |
Not Available |
Full Name | Kallie Joy Bennett |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 14301 Ewing Ave S, Burnsville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073001889 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 28361 (Minnesota) | Primary |
Entity Name | County Of Scott |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841299443 PECOS PAC ID: 4587605225 Enrollment ID: O20050512000752 |
Mailing Address | Practice Location Address |
---|---|
Kallie Joy Bennett, 200 4th Ave W, Shakopee, MN 55379-1220 Ph: (952) 496-8481 | Kallie Joy Bennett, 14301 Ewing Ave S, Burnsville, MN 55306-4885 Ph: (952) 746-5350 |
Ms. Mary Kay Hill, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1200 Echo Dr, Burnsville, MN 55337 Phone: 763-222-6042 | |
Lauren Mary Schairer, MSW, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 2970 Judicial Rd Ste 100, Burnsville, MN 55337 Phone: 617-335-9528 | |
Jibril Abdi, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 Mcandrews Rd W Ste 203, Burnsville, MN 55337 Phone: 507-213-6393 | |
Ms. Ariel Goltzman, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14300 Nicollet Ct, Suite 130, Burnsville, MN 55306 Phone: 952-435-8814 | |
Dawn Ebeling, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2970 Judicial Rd Ste 100, Burnsville, MN 55337 Phone: 952-224-8990 | |
Larry Vaughn Blair, L.I.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2970 Judicial Road, Suite 100, Burnsville, MN 55337 Phone: 952-224-8990 Fax: 952-224-8991 |