| Jessica Grant, LICSW | |
|
1680 Diagonal Rd, Worthington, MN 56187-1008 | |
| (507) 372-3800 | |
| Not Available |
| Full Name | Jessica Grant |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1680 Diagonal Rd, Worthington, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700210226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Minnesota) | Primary |
| 104100000X | Social Worker | 008365 (Iowa) | Secondary |
| Entity Name | Southwestern Mental Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487654562 PECOS PAC ID: 7012816812 Enrollment ID: O20031231000148 |
| Entity Name | Sanford Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699869875 PECOS PAC ID: 6800707100 Enrollment ID: O20040715001116 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Grant, LICSW Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-9419 | Jessica Grant, LICSW 1680 Diagonal Rd, Worthington, MN 56187-1008 Ph: (507) 372-3800 |
Sheila Marie Middagh, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 29566 270th St, Worthington, MN 56187 Phone: 605-695-9948 | |
Ms. Diane Kaye Dunn, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1234 Oxford St, Worthington, MN 56187 Phone: 507-376-9758 | |
Barbara Jean Pieske, LGSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1680 Diagonal Rd, Worthington, MN 56187 Phone: 507-372-3800 | |
Jean Nicole Johnson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1210 5th Ave, Worthington, MN 56187 Phone: 507-372-1515 Fax: 507-376-4494 | |
Lindsay Jenniges, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1211 Clary St, Worthington, MN 56187 Phone: 507-376-6121 Fax: 507-372-4304 | |
Marilee Hartman, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1024 7th Ave, Worthington, MN 56187 Phone: 507-376-4141 Fax: 507-376-4494 |