| Kayla Thomas, LICSW | |
| 
					3333 University Ave Se, Minneapolis, MN 55414-3325  | |
| (612) 979-6148 | |
| Not Available | 
| Full Name | Kayla Thomas | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 3333 University Ave Se, Minneapolis, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1053172734 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Minnesota) | Primary | 
| Entity Name | Fraser Child And Family Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1609922194 PECOS PAC ID: 3971918772 Enrollment ID: O20210208002399  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kayla Thomas, LICSW 7021 Brooklyn Blvd Apt 318, Brooklyn Center, MN 55429-1363 Ph: (612) 979-6148  | Kayla Thomas, LICSW 3333 University Ave Se, Minneapolis, MN 55414-3325 Ph: (612) 979-6148  | 
Mr. Tim D Sullivan, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 229 Ridgewood Ave, Apartment 112, Minneapolis, MN 55403 Phone: 612-600-7169  | |
Catherine Elaine Mcnaughton, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 612-813-6138  | |
Don Coleman,  Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2430 Nicollet Ave, Minneapolis, MN 55404 Phone: 612-871-1454 Fax: 612-871-1505  | |
Seare Shibeshi,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2327 E Franklin Ave Ste 3, Minneapolis, MN 55406 Phone: 612-332-9124  | |
Alex Jacob Hoyt, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4027 County Road 25, Minneapolis, MN 55416 Phone: 612-925-6033 Fax: 612-925-8496  | |
Elissa J Allen, LGSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 866-603-0016  | |
Sydney Bartz, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Glenwood Ave, Minneapolis, MN 55405 Phone: 612-871-1454  |