| Amanda Ellis, LICSW | |
|
7400 Metro Blvd Ste 335, Edina, MN 55439-2356 | |
| (651) 217-8600 | |
| Not Available |
| Full Name | Amanda Ellis |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 24 Years |
| Location | 7400 Metro Blvd Ste 335, Edina, Minnesota |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245680925 | NPI | - | NPPES |
| H300322582 | Other | MN | NGS MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 25258 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| A Time For Healing Llc | 4981034790 | 3 |
| Entity Name | A Time For Healing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710943089 PECOS PAC ID: 4981034790 Enrollment ID: O20200420000173 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Ellis, LICSW 7400 Metro Blvd Ste 335, Edina, MN 55439-2356 Ph: (651) 217-8600 | Amanda Ellis, LICSW 7400 Metro Blvd Ste 335, Edina, MN 55439-2356 Ph: (651) 217-8600 |
Ms. Cindy S Libman, LICSW LMFT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6550 York Ave, Suite 207, Edina, MN 55435 Phone: 952-922-7679 Fax: 952-922-0339 | |
Anne Weerasinghe, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6804 Iroquois Cir, Edina, MN 55439 Phone: 612-564-9772 Fax: 612-225-1854 | |
Mackenna Delores Sullivan, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4820 77th St W Ste 130, Edina, MN 55435 Phone: 651-313-8080 | |
Kathryn Solveig Christenson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6565 France Ave S Ste 402, Edina, MN 55435 Phone: 952-903-1270 Fax: 952-922-2049 | |
Kelly Sternhagen, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7401 Metro Blvd Ste 250, Edina, MN 55439 Phone: 612-517-3667 | |
Kim Hill Smith, MSW LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3209 West 76th Street, Suite 204, Edina, MN 55435 Phone: 952-285-5566 Fax: 952-925-5614 | |
Rebeka Ellen Mcrad, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5666 Lincoln Dr Ste 210, Edina, MN 55436 Phone: 612-367-6029 |