| Cecilia Campos Bloomquist, LICSW | |
|
2220 Riverside Ave, Mail Stop 31700a, Minneapolis, MN 55454 | |
| (952) 967-7175 | |
| Not Available |
| Full Name | Cecilia Campos Bloomquist |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 13 Years |
| Location | 2220 Riverside Ave, Minneapolis, 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 |
|---|---|---|---|
| 1154671147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 21999 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sawtooth Mountain Clinic Inc | 8224940010 | 13 |
| Entity Name | Regents Of The University Of Minnesota |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114019858 PECOS PAC ID: 7416856059 Enrollment ID: O20040102000679 |
| Entity Name | Sawtooth Mountain Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306832894 PECOS PAC ID: 8224940010 Enrollment ID: O20041103000490 |
| Mailing Address | Practice Location Address |
|---|---|
| Cecilia Campos Bloomquist, LICSW 8170 33rd Ave S, Ms 21110q, Bloomington, MN 55425-4516 Ph: (952) 967-7175 | Cecilia Campos Bloomquist, LICSW 2220 Riverside Ave, Mail Stop 31700a, Minneapolis, MN 55454 Ph: (952) 967-7175 |
Mr. Tim D Sullivan, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 229 Ridgewood Ave, Apartment 112, Minneapolis, MN 55403 Phone: 612-600-7169 | |
Catherine Elaine Mcnaughton, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 612-813-6138 | |
Don Coleman, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2430 Nicollet Ave, Minneapolis, MN 55404 Phone: 612-871-1454 Fax: 612-871-1505 | |
Seare Shibeshi, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2327 E Franklin Ave Ste 3, Minneapolis, MN 55406 Phone: 612-332-9124 | |
Alex Jacob Hoyt, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4027 County Road 25, Minneapolis, MN 55416 Phone: 612-925-6033 Fax: 612-925-8496 | |
Elissa J Allen, LGSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 866-603-0016 | |
Sydney Bartz, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Glenwood Ave, Minneapolis, MN 55405 Phone: 612-871-1454 |