| Julie Ann Hanenburg, LICSW | |
|
150 10th St Nw Ste 2, Milaca, MN 56353-1737 | |
| (320) 983-2335 | |
| (651) 342-8029 |
| Full Name | Julie Ann Hanenburg |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 150 10th St Nw Ste 2, Milaca, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710108790 | NPI | - | NPPES |
| 632410000 | Other | MN | MHCP PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 15603 (Minnesota) | Primary |
| Entity Name | Lighthouse Child & Family Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689861197 PECOS PAC ID: 1850571795 Enrollment ID: O20110209000428 |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Ann Hanenburg, LICSW 150 10th St Nw Ste 2, Milaca, MN 56353-1737 Ph: (320) 983-2335 | Julie Ann Hanenburg, LICSW 150 10th St Nw Ste 2, Milaca, MN 56353-1737 Ph: (320) 983-2335 |
Deborah Hannah Gault, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 150 10th St Nw Ste 2, Milaca, MN 56353 Phone: 320-983-2335 | |
Brittany Ann Bemboom, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 150 10th St Nw Ste 2, Milaca, MN 56353 Phone: 320-983-2335 | |
Melissa Oltman, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 10th St Nw Ste 2, Milaca, MN 56353 Phone: 320-983-8022 | |
Joanna Sue Wachsmuth, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 10th St Nw Ste 2, Milaca, MN 56353 Phone: 763-389-7230 | |
Jennifer Jean Goerger, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 150 10th St Nw Ste 2, Milaca, MN 56353 Phone: 320-983-2335 | |
Amber Kent, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12460 160th St, Milaca, MN 56353 Phone: 218-831-3072 |