| Emma Kim Rust, | |
|
1123 Grand Ave, Saint Paul, MN 55105-2885 | |
| (612) 424-2466 | |
| (612) 677-3146 |
| Full Name | Emma Kim Rust |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 4 Years |
| Location | 1123 Grand Ave, Saint Paul, 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 |
|---|---|---|---|
| 1033847314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.028222 (Illinois) | Secondary |
| 104100000X | Social Worker | 31498 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emotion Management Program Llc | 8628171360 | 5 |
| Entity Name | Emotion Management Program LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083780522 PECOS PAC ID: 8628171360 Enrollment ID: O20070316000336 |
| Mailing Address | Practice Location Address |
|---|---|
| Emma Kim Rust, 2138 Marshall Ave, Saint Paul, MN 55104-5756 Ph: Not Available | Emma Kim Rust, 1123 Grand Ave, Saint Paul, MN 55105-2885 Ph: (612) 424-2466 |
Mr. Michael Joseph O'neill, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1919 University Ave W, Saint Paul, MN 55104 Phone: 651-266-7900 Fax: 651-266-7850 |
Taylor Korynta, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2550 University Ave W Ste 229n, Saint Paul, MN 55114 Phone: 651-645-3115 |
Camille Feng, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 200 University Ave E, Saint Paul, MN 55101 Phone: 651-312-3169 Fax: 651-602-6891 |
Ms. Sharon Kay Geiger, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1919 University Ave W, Saint Paul, MN 55104 Phone: 651-266-7978 |
Mrs. Karen Anne Stevensen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2469 University Ave W, Saint Paul, MN 55114 Phone: 612-720-5083 |
Kathleen Lombardi, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1919 University Ave W Ste 200, Saint Paul, MN 55104 Phone: 651-266-7900 |
Ms. Sherie Lou Bosak, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 821 Raymond Ave, #300, Saint Paul, MN 55114 Phone: 651-645-0438 Fax: 651-647-0659 |