| Lynn Heidemann, LICSW | |
|
11870 Ulysses St Ne Ste 200, Blaine, MN 55434-4193 | |
| (763) 482-9598 | |
| (612) 235-6447 |
| Full Name | Lynn Heidemann |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 35 Years |
| Location | 11870 Ulysses St Ne Ste 200, Blaine, 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 |
|---|---|---|---|
| 1285970004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 22097 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rum River Counseling, Inc | 0941661482 | 21 |
| Entity Name | Nystrom & Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
| Entity Name | Rum River Counseling, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073578472 PECOS PAC ID: 0941661482 Enrollment ID: O20230801001915 |
| Mailing Address | Practice Location Address |
|---|---|
| Lynn Heidemann, LICSW 2915 123rd Cir Ne, Blaine, MN 55449-5878 Ph: (612) 790-3402 | Lynn Heidemann, LICSW 11870 Ulysses St Ne Ste 200, Blaine, MN 55434-4193 Ph: (763) 482-9598 |
Kimberly Bauman, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 11870 Ulysses St Ne Ste 200, Blaine, MN 55434 Phone: 651-485-5428 | |
Cheryl Lynn Barnes, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12111 Bataan St Ne, Blaine, MN 55449 Phone: 612-251-4969 | |
Douglas Alan Drew, MA, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 10190 Baltimore St Ne, Suite 110, Blaine, MN 55449 Phone: 763-755-7612 Fax: 763-775-2048 | |
Jill Diane Boike, L.I.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11800 Aberdeen St Ne, Suite 100, Blaine, MN 55449 Phone: 763-270-0054 Fax: 763-208-6371 | |
Richelle Renee Amundson, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 9298 Central Ave Ne Ste 406, Blaine, MN 55434 Phone: 612-208-3721 | |
Tara Waldron, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11870 Ulysses St Ne, Ste 200, Blaine, MN 55434 Phone: 763-482-9598 Fax: 612-235-6447 |