| Heather Wilson, LICSW | |
|
407 Washington St, Monticello, MN 55362-8815 | |
| (320) 241-4804 | |
| Not Available |
| Full Name | Heather Wilson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 407 Washington St, Monticello, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396326427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 27169 (Minnesota) | Primary |
| Entity Name | Central Minnesota Mental Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831177195 PECOS PAC ID: 4486555877 Enrollment ID: O20040119000248 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Wilson, LICSW 407 Washington St, Monticello, MN 55362-8815 Ph: () - | Heather Wilson, LICSW 407 Washington St, Monticello, MN 55362-8815 Ph: (320) 241-4804 |
Mr. William J Affeldt, MSSW LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1001 Hart Blvd Ste 100, Monticello, MN 55362 Phone: 763-295-2921 Fax: 763-581-9090 | |
Mrs. Jazmin Brook Borst, PROVISIONAL LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 407 Washington St, Monticello, MN 55362 Phone: 320-452-9940 | |
Jenifer Elizabeth John, MA LMFT LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 261 Broadway St E, Monticello, MN 55362 Phone: 763-262-3077 Fax: 763-262-1113 | |
Jamie-sue Peterson, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 407 Washington St, Monticello, MN 55362 Phone: 320-249-6511 | |
Jodi Sorenson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 611 Walnut St, Monticello, MN 55362 Phone: 612-712-5244 | |
Hannah Krog, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1013 Hart Blvd, Monticello, MN 55362 Phone: 763-271-2881 |