| Kailey Marie Everett, LICSW | |
|
2001 Beam Ave, Maplewood, MN 55109-1401 | |
| (952) 826-8475 | |
| Not Available |
| Full Name | Kailey Marie Everett |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2001 Beam Ave, Maplewood, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447830898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 27801 (Minnesota) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Entity Name | Phoenix Mental Health Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831329564 PECOS PAC ID: 6608921663 Enrollment ID: O20090827000489 |
| Entity Name | St Croix Psychiatric Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881849586 PECOS PAC ID: 9335288786 Enrollment ID: O20091125000166 |
| Mailing Address | Practice Location Address |
|---|---|
| Kailey Marie Everett, LICSW 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 Ph: (763) 762-8800 | Kailey Marie Everett, LICSW 2001 Beam Ave, Maplewood, MN 55109-1401 Ph: (952) 826-8475 |
Lindsey Peterson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1654 Burke Ave E, Maplewood, MN 55109 Phone: 612-567-6306 | |
Alicia Ann Vandenberg, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2345 Ariel St N, Maplewood, MN 55109 Phone: 651-254-4793 Fax: 651-254-0877 | |
Karyn Cave, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2345 Ariel Street North, Mail Stop 13601a, Maplewood, MN 55109 Phone: 651-254-4793 | |
Emily Glover, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2785 White Bear Ave N Ste 403, Maplewood, MN 55109 Phone: 651-365-8289 | |
Sarah Lilja, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2127 County Road D E Ste A100, Maplewood, MN 55109 Phone: 651-592-1592 Fax: 651-429-2988 | |
Claire L Kuennen Jordan, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-232-7000 | |
Donna M Jalonen, MSW LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2345 Ariel St N, Mail Stop 13601a, Maplewood, MN 55109 Phone: 651-254-4793 Fax: 651-254-0877 |