| Jennifer Lynn Peterson, | |
|
301 Highway 65 S, Mora, MN 55051-1899 | |
| (320) 225-3579 | |
| (320) 225-3533 |
| Full Name | Jennifer Lynn Peterson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 301 Highway 65 S, Mora, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487299293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 15296 (Minnesota) | Primary |
| Entity Name | County Of Kanabec |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528031390 PECOS PAC ID: 0648187237 Enrollment ID: O20031125000660 |
| Entity Name | Family Based Therapy Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194762005 PECOS PAC ID: 2264432681 Enrollment ID: O20070110000019 |
| Entity Name | Welia Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528031390 PECOS PAC ID: 6709295496 Enrollment ID: O20220125001227 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Lynn Peterson, 301 Highway 65 S, Mora, MN 55051-1899 Ph: (320) 225-3579 | Jennifer Lynn Peterson, 301 Highway 65 S, Mora, MN 55051-1899 Ph: (320) 225-3579 |
Danielle Gilbertson, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 301 Highway 65 S, Mora, MN 55051 Phone: 320-225-3577 | |
Melissa Handt, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2031 Rowland Rd, Mora, MN 55051 Phone: 320-364-1300 | |
Joshua Larsen, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23 Pine St N, Mora, MN 55051 Phone: 320-679-6964 | |
Sara Renee Kennedy, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 Union St S Ste 3, Mora, MN 55051 Phone: 651-448-2322 | |
Susan R Peterson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2031 Rowland Rd, Mora, MN 55051 Phone: 320-364-1300 Fax: 320-323-2558 | |
Haley Hemmerich, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 301 Highway 65 S, Mora, MN 55051 Phone: 320-335-3576 |