| Cassandra Lee Kotnik, MSW, LICSW | |
|
624 13th St S, Virginia, MN 55792-3149 | |
| (218) 749-2881 | |
| (218) 749-3806 |
| Full Name | Cassandra Lee Kotnik |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 11 Years |
| Location | 624 13th St S, Virginia, 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 |
|---|---|---|---|
| 1295200624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 19965 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Range Mental Health Center | 3173434628 | 15 |
| Entity Name | Range Mental Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457452823 PECOS PAC ID: 3173434628 Enrollment ID: O20040930000462 |
| Mailing Address | Practice Location Address |
|---|---|
| Cassandra Lee Kotnik, MSW, LICSW Po Box 1188, Virginia, MN 55792-1188 Ph: (218) 749-2881 | Cassandra Lee Kotnik, MSW, LICSW 624 13th St S, Virginia, MN 55792-3149 Ph: (218) 749-2881 |
Brianna Williams, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 411 8th St S, Virginia, MN 55792 Phone: 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 | |
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 |