| Dr Richard Edwin Close, DMIN, MA,LICSW, LMFT | |
|
3450 Oleary Ln, Eagan, MN 55123-2340 | |
| (651) 454-0114 | |
| (651) 454-3492 |
| Full Name | Dr Richard Edwin Close |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 41 Years |
| Location | 3450 Oleary Ln, Eagan, Minnesota |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457379026 | NPI | - | NPPES |
| 636357100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 07734 (Minnesota) | Primary |
| 106H00000X | Marriage & Family Therapist | 0067 (Minnesota) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Natalis Counseling And Psychology Solutions, P.a. | 5193756104 | 26 |
| Entity Name | Eagan Counseling Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144311184 PECOS PAC ID: 2860304045 Enrollment ID: O20031105000326 |
| Entity Name | Natalis Counseling and Psychology Solutions, P.A. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447369673 PECOS PAC ID: 5193756104 Enrollment ID: O20050829000863 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Edwin Close, DMIN, MA,LICSW, LMFT 3450 Oleary Ln, Eagan, MN 55123-2340 Ph: (651) 454-0114 | Dr Richard Edwin Close, DMIN, MA,LICSW, LMFT 3450 Oleary Ln, Eagan, MN 55123-2340 Ph: (651) 454-0114 |
Elizabeth Kangas, MSW, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1121 Town Centre Dr, Eagan, MN 55123 Phone: 952-295-8831 |
Angela Maureen Holmquist, LICSW, MSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 4660 Slater Rd Ste 145, Eagan, MN 55122 Phone: 612-405-1612 |
Mr. Todd Borstad, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3450 O'leary Lane, Eagan, MN 55123 Phone: 651-454-0114 Fax: 651-454-3492 |
Jocelyn Skye Byrd, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-365-8264 |
Holly Krawza, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2000 Rahncliff Ct Ste 400, Eagan, MN 55122 Phone: 888-290-1209 |
Clare Louise Macdonald-sexton, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1885 Plaza Dr, Eagan, MN 55122 Phone: 952-993-4001 |
Anne Bushnell, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3460 Washington Dr Ste 200, Eagan, MN 55122 Phone: 651-232-3339 |