Forest William Juvland, | |
480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 | |
(763) 236-3800 | |
(763) 236-3821 |
Full Name | Forest William Juvland |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 480 Osborne Rd Ne Ste 260, Fridley, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518547512 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 27653 (Minnesota) | Primary |
Entity Name | St Croix Psychiatric Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881849586 PECOS PAC ID: 9335288786 Enrollment ID: O20091125000166 |
Mailing Address | Practice Location Address |
---|---|
Forest William Juvland, 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-9000 | Forest William Juvland, 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 Ph: (763) 236-3800 |
Kimberly E Schultz, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1250 Moore Lake Dr E Ste 152, Fridley, MN 55432 Phone: 612-389-2332 Fax: 612-389-2338 | |
Charlette Kay Carlotto, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6401 University Ave Ne, Suite 304, Fridley, MN 55432 Phone: 651-769-6250 Fax: 651-769-6299 | |
Carolyn Sarah Menger, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1250 Moore Lake Dr E Ste 152, Fridley, MN 55432 Phone: 612-389-2332 Fax: 612-389-2338 | |
Mrs. Erin Kristine Church, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 500 Osborne Rd Ne Ste 255, Fridley, MN 55432 Phone: 763-786-6011 | |
Amanda Boelen Harrington, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7954 University Ave Ne, Fridley, MN 55432 Phone: 763-780-3036 | |
Shannon Martina Rapalo Medina, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5155 E River Rd Ste 401, Fridley, MN 55421 Phone: 763-913-9184 | |
Christine Dumke, M.S.W. L.G.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7260 University Ave Ne, Suite 235, Fridley, MN 55432 Phone: 763-572-2605 |