| Abigail M Wacholz, LICSW | |
|
404 W Fountain St, Albert Lea, MN 56007-2437 | |
| (507) 461-5418 | |
| Not Available |
| Full Name | Abigail M Wacholz |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 8 Years |
| Location | 404 W Fountain St, Albert Lea, 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 |
|---|---|---|---|
| 1972186658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 27499 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayo Clinic Health System-southeast Minnesota Region | 4385556703 | 522 |
| Mayo Clinic | 6507778255 | 4507 |
| Entity Name | Mayo Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285 |
| Entity Name | Mayo Clinic Health System-southeast Minnesota Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891701637 PECOS PAC ID: 4385556703 Enrollment ID: O20031104000408 |
| Mailing Address | Practice Location Address |
|---|---|
| Abigail M Wacholz, LICSW 404 W Fountain St, Albert Lea, MN 56007-2437 Ph: (507) 668-2065 | Abigail M Wacholz, LICSW 404 W Fountain St, Albert Lea, MN 56007-2437 Ph: (507) 461-5418 |
Reese Sara Druckenmiller, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 404 W Fountain St, Albert Lea, MN 56007 Phone: 507-373-2384 | |
Kathryn Ann Tjepkema, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 203 W Clark St, Albert Lea, MN 56007 Phone: 507-377-5453 Fax: 507-377-5505 | |
Ms. Edith Marie Haenel, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 111 E Clark St Ste 201, Albert Lea, MN 56007 Phone: 507-377-2224 Fax: 507-377-2224 | |
Ms. Julianne S Bulau, MSW LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 203 W Clark St, Freeborn County Mental Health Center, Albert Lea, MN 56007 Phone: 507-377-5400 Fax: 507-377-5505 | |
Maureen Ann Williams-zelenak, L.I.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 203 W Clark St, Albert Lea, MN 56007 Phone: 507-377-5454 Fax: 507-377-5505 | |
Jillian Vollbrecht, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 203 W Clark St, Albert Lea, MN 56007 Phone: 507-377-5440 Fax: 507-377-5498 | |
Ms. Linda G Wollenburg, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 203 West Clark Street, Albert Lea, MN 56007 Phone: 507-377-5493 |