| Katherine Suzanne Fitzkappes, LICSW | |
|
824 N 11th St, Montevideo, MN 56265-1629 | |
| (320) 269-8877 | |
| (320) 321-8200 |
| Full Name | Katherine Suzanne Fitzkappes |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 824 N 11th St, Montevideo, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831761675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 15711 (Minnesota) | Primary |
| Entity Name | Ccm Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720086028 PECOS PAC ID: 4284539453 Enrollment ID: O20031201000642 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Suzanne Fitzkappes, LICSW 824 N 11th St, Montevideo, MN 56265-1629 Ph: (320) 269-8877 | Katherine Suzanne Fitzkappes, LICSW 824 N 11th St, Montevideo, MN 56265-1629 Ph: (320) 269-8877 |
Karley Duenwald, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1234 E Highway 7, Montevideo, MN 56265 Phone: 320-269-6581 | |
Lori Thom, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 814 N 11th St, Montevideo, MN 56265 Phone: 320-269-2222 | |
Laura L Tersteeg-beier, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1025 N 13th St, Montevideo, MN 56265 Phone: 320-269-2222 | |
Ona Mae Hanson-gustafson, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1025 N 13th St, Montevideo, MN 56265 Phone: 320-269-2222 |