| Brianna Williams, | |
|
411 8th St S, Virginia, MN 55792-2829 | |
| (218) 259-6386 | |
| Not Available |
| Full Name | Brianna Williams |
|---|---|
| Gender | |
| Speciality | Social Worker - Clinical |
| Location | 411 8th St S, Virginia, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033906730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 31522 (Minnesota) | Primary |
| Entity Name | Crescent Moon Counseling |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881328482 PECOS PAC ID: 3476920646 Enrollment ID: O20221031002493 |
| Mailing Address | Practice Location Address |
|---|---|
| Brianna Williams, 411 8th St S, Virginia, MN 55792-2829 Ph: () - | Brianna Williams, 411 8th St S, Virginia, MN 55792-2829 Ph: (218) 259-6386 |
Katie Pietrini Harley, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1023 2nd St S, Virginia, MN 55792 Phone: 218-750-7693 | |
Enrico Thomas Welsch, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 624 13th St S, Virginia, MN 55792 Phone: 218-749-2881 Fax: 218-749-3806 | |
Cassandra Lee Kotnik, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 624 13th St S, Virginia, MN 55792 Phone: 218-749-2881 Fax: 218-749-3806 | |
Taylor Westin, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 624 13th St S, Virginia, MN 55792 Phone: 218-749-2881 | |
Carolyn R Dinneen, MSW LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792 Phone: 218-749-2881 Fax: 218-749-3806 | |
Christine F Ketelsen, MSW LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792 Phone: 218-749-2881 Fax: 218-749-3806 |