| Ms Earlyn Dorothy Pengelly, MA, MS | |
|
430 Patterson Ave, Mankato, MN 56001-2309 | |
| (507) 388-5801 | |
| (507) 388-2715 |
| Full Name | Ms Earlyn Dorothy Pengelly |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 430 Patterson Ave, Mankato, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710004163 | NPI | - | NPPES |
| 57786PE | Other | MN | BLUE CROSS BLUE SHIELD |
| 120002 | Other | MN | UCARE INSURANCE |
| 6120605 | Other | MN | MEDICA, UBH |
| HP28654 | Other | MN | HEALTH PARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP1114 (Minnesota) | Primary |
| 1041C0700X | Social Worker - Clinical | 4137 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Earlyn Dorothy Pengelly, MA, MS 430 Patterson Ave, Mankato, MN 56001-2309 Ph: (507) 388-5801 | Ms Earlyn Dorothy Pengelly, MA, MS 430 Patterson Ave, Mankato, MN 56001-2309 Ph: (507) 388-5801 |
K. Robin Newcombe Nelson, LADC, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-3372 | |
Lacy Osborne, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 100 Warren St # 345, Mankato, MN 56001 Phone: 507-227-4858 Fax: 507-519-2271 | |
Michele J. Larson, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 104 Serra St, Mankato, MN 56001 Phone: 608-577-5742 | |
Tammy M Gagnon, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 Civic Center Plz Ste 1615, Mankato, MN 56001 Phone: 507-345-4679 Fax: 507-345-8685 | |
Anna Marie Johanson, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1400 Madison Ave Ste 352, Mankato, MN 56001 Phone: 507-387-3195 | |
Nicole Kristina Lidstrom, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-594-2468 | |
Carrie Ann Leggett, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-400-4706 |