Justin Allen, MSW, LICSW | |
8550 Hudson Blvd N, Lake Elmo, MN 55042-5500 | |
(651) 254-8580 | |
Not Available |
Full Name | Justin Allen |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 8550 Hudson Blvd N, Lake Elmo, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629593504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 23615 (Minnesota) | Primary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
Entity Name | Affinity Psychological Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245610856 PECOS PAC ID: 0749528552 Enrollment ID: O20190220001363 |
Mailing Address | Practice Location Address |
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Justin Allen, MSW, LICSW 6600 France Ave S Ste 230, Edina, MN 55435-1810 Ph: () - | Justin Allen, MSW, LICSW 8550 Hudson Blvd N, Lake Elmo, MN 55042-5500 Ph: (651) 254-8580 |
Emily E Adrian, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8550 Hudson Blvd N, Lake Elmo, MN 55042 Phone: 651-254-8580 | |
Carlene Marie Springer, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8550 Hudson Blvd N, Lake Elmo, MN 55042 Phone: 651-254-8580 | |
Tim Johnson, M.S.W., LICSW & LMFT Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8669 Eagle Point Blvd, Lake Elmo, MN 55042 Phone: 651-379-0444 Fax: 651-379-0448 | |
Carolyn Marie Bollinger, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8550 Hudson Blvd N Ste 100, Lake Elmo, MN 55042 Phone: 651-254-8580 Fax: 651-254-0601 | |
Cheryl Weber, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8550 Hudson Blvd N, Lake Elmo, MN 55042 Phone: 651-254-8580 | |
Susan Whalen, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3394 Lake Elmo Ave N, Lake Elmo, MN 55042 Phone: 651-303-5522 | |
Coleen Maclean Groen, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8550 Hudson Blvd N, Lake Elmo, MN 55042 Phone: 651-254-8580 |