| Kelly Dulohery, LICSW | |
|
1695 Lor Ray Dr, North Mankato, MN 56003-2804 | |
| (507) 385-6548 | |
| Not Available |
| Full Name | Kelly Dulohery |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 16 Years |
| Location | 1695 Lor Ray Dr, North Mankato, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861877490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 20650 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayo Clinic Health System-southwest Minnesota Region | 4688585771 | 605 |
| Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578545422 PECOS PAC ID: 4688585771 Enrollment ID: O20031110000134 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Dulohery, LICSW 1695 Lor Ray Dr, North Mankato, MN 56003-2804 Ph: () - | Kelly Dulohery, LICSW 1695 Lor Ray Dr, North Mankato, MN 56003-2804 Ph: (507) 385-6548 |
Yairy Ferrer, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1529 Nottingham Dr, North Mankato, MN 56003 Phone: 954-709-0544 | |
Maya Fluegge, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2136 Arlington Trl Apt 4, North Mankato, MN 56003 Phone: 608-633-8831 | |
Dawn Matz, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1012 Sherman St, North Mankato, MN 56003 Phone: 805-327-2827 |