| Colette Rose Neron Ellenbecker, LICSW | |
|
3701 12th St N, Suite 203, Saint Cloud, MN 56303-2255 | |
| (218) 631-5993 | |
| (218) 631-7043 |
| Full Name | Colette Rose Neron Ellenbecker |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 17 Years |
| Location | 3701 12th St N, Saint Cloud, 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 |
|---|---|---|---|
| 1912267287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 10224 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Support Services Inc | 0244297448 | 5 |
| Nystrom And Associates Ltd | 6406752492 | 459 |
| Entity Name | Nystrom & Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
| Entity Name | Family Support Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467549220 PECOS PAC ID: 0244297448 Enrollment ID: O20041220000008 |
| Mailing Address | Practice Location Address |
|---|---|
| Colette Rose Neron Ellenbecker, LICSW 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1786 Ph: (651) 628-9566 | Colette Rose Neron Ellenbecker, LICSW 3701 12th St N, Suite 203, Saint Cloud, MN 56303-2255 Ph: (218) 631-5993 |
Patricia Ann Meyer, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 | |
Brittany Holstein, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-255-6418 | |
Jennifer Elizabeth Rooney, MSW, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 | |
Mari Faye Schreder, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 | |
Katherine Carol Logeais Hissam, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 Fax: 320-255-6328 | |
Carrie Gapinski, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1411 W Saint Germain St Ste 202, Saint Cloud, MN 56301 Phone: 320-247-4068 | |
Lyndsey Lanes, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 |