| Andrea Suzanne Jagusch, LICSW | |
|
1575 Beam Ave, Maplewood, MN 55109-1126 | |
| (651) 326-7662 | |
| Not Available |
| Full Name | Andrea Suzanne Jagusch |
|---|---|
| Gender | Female |
| Speciality | Social Worker - School |
| Location | 1575 Beam Ave, Maplewood, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861736878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 19881 (Minnesota) | Secondary |
| 1041S0200X | Social Worker - School | 465089 (Minnesota) | Primary |
| Entity Name | Healtheast Woodwinds Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356309322 PECOS PAC ID: 9638082563 Enrollment ID: O20031107000110 |
| Entity Name | Healtheast Medical Research Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
| Entity Name | Healtheast St John's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447218482 PECOS PAC ID: 9234035742 Enrollment ID: O20031208000320 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Suzanne Jagusch, LICSW 7023 49th St N, Oakdale, MN 55128-2650 Ph: (507) 398-3603 | Andrea Suzanne Jagusch, LICSW 1575 Beam Ave, Maplewood, MN 55109-1126 Ph: (651) 326-7662 |
Lindsey Peterson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1654 Burke Ave E, Maplewood, MN 55109 Phone: 612-567-6306 | |
Alicia Ann Vandenberg, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2345 Ariel St N, Maplewood, MN 55109 Phone: 651-254-4793 Fax: 651-254-0877 | |
Karyn Cave, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2345 Ariel Street North, Mail Stop 13601a, Maplewood, MN 55109 Phone: 651-254-4793 | |
Emily Glover, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2785 White Bear Ave N Ste 403, Maplewood, MN 55109 Phone: 651-365-8289 | |
Sarah Lilja, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2127 County Road D E Ste A100, Maplewood, MN 55109 Phone: 651-592-1592 Fax: 651-429-2988 | |
Claire L Kuennen Jordan, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-232-7000 | |
Donna M Jalonen, MSW LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2345 Ariel St N, Mail Stop 13601a, Maplewood, MN 55109 Phone: 651-254-4793 Fax: 651-254-0877 |