| Jamie Lee Mack, LICSW | |
|
1600 Madison Ave Ste 110, Mankato, MN 56001-5820 | |
| (651) 346-3266 | |
| Not Available |
| Full Name | Jamie Lee Mack |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 10 Years |
| Location | 1600 Madison Ave Ste 110, Mankato, Minnesota |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104663525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 23072 (Minnesota) | Primary |
| Entity Name | Ellie Family Services Pllp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740664150 PECOS PAC ID: 8325309669 Enrollment ID: O20180228001972 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Lee Mack, LICSW 118 Merlin Cir, Mankato, MN 56001-5732 Ph: (507) 382-4322 | Jamie Lee Mack, LICSW 1600 Madison Ave Ste 110, Mankato, MN 56001-5820 Ph: (651) 346-3266 |
Lacy Osborne, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 151 Saint Andrews Ct Ste 200, Mankato, MN 56001 Phone: 507-705-5415 Fax: 507-607-8845 | |
Michele J. Larson, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 104 Serra St, Mankato, MN 56001 Phone: 608-577-5742 | |
Nancy Altmann, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1400 Madison Ave Ste 322, Mankato, MN 56001 Phone: 507-702-3030 | |
Tammy M Gagnon, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 11 Civic Center Plz Ste 1615, Mankato, MN 56001 Phone: 507-345-4679 Fax: 507-345-8685 | |
Michelle Olivia Olund-youngberg, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1600 Warren St Ste 6, Mankato, MN 56001 Phone: 507-389-1443 Fax: 855-360-3593 | |
Anna Marie Johanson, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1400 Madison Ave Ste 352, Mankato, MN 56001 Phone: 507-387-3195 | |
Katelin Michelle Farmer, LICSW, MSW, LGSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 100 Warren St Ste 324, Mankato, MN 56001 Phone: 507-344-3124 Fax: 507-519-2271 |