| Elizabeth Ryan Fenske, LICSW | |
|
576 Bielenberg Dr Ste 250, Woodbury, MN 55125-1739 | |
| (866) 821-0281 | |
| Not Available |
| Full Name | Elizabeth Ryan Fenske |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 576 Bielenberg Dr Ste 250, Woodbury, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447800800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 28491 (Minnesota) | Primary |
| Entity Name | Care Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851716245 PECOS PAC ID: 7517181266 Enrollment ID: O20140619000479 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Ryan Fenske, LICSW 6348 Bellevue Ln, Eden Prairie, MN 55344-5200 Ph: (952) 239-1447 | Elizabeth Ryan Fenske, LICSW 576 Bielenberg Dr Ste 250, Woodbury, MN 55125-1739 Ph: (866) 821-0281 |
Alissa Leigh Madden, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1811 Weir Dr, Suite 355, Woodbury, MN 55125 Phone: 651-730-6151 | |
Colleen M Halley, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7650 Currell Blvd, Suite 130, Woodbury, MN 55125 Phone: 651-714-8007 | |
Willie Jean Love-winter, MSSW, LICSW, LMFT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6136 Kalen Ct, Woodbury, MN 55129 Phone: 651-459-0443 Fax: 651-459-4510 | |
Shari Marik-roach, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7200 Glenross Rd, Woodbury, MN 55125 Phone: 651-399-0979 | |
Mrs. Laura Holton Dabruzzi, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 659 Bielenberg Dr, Woodbury, MN 55125 Phone: 651-259-9700 Fax: 651-259-9780 | |
Ashley Ashbacher, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2040 Woodwinds Drive, Woodbury, MN 55125 Phone: 651-259-9711 | |
Mrs. Mindy Kaye Dombrovski, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125 Phone: 651-241-3000 |