| Maija Peterfeso, MSW LICSW | |
|
1197 Grand Ave, Saint Paul, MN 55105-2634 | |
| (763) 703-4215 | |
| (877) 775-3306 |
| Full Name | Maija Peterfeso |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1197 Grand Ave, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104626167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 15050 (Minnesota) | Primary |
| Entity Name | Stacia Hanson Ma Lp Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871867549 PECOS PAC ID: 2769828706 Enrollment ID: O20240312003412 |
| Mailing Address | Practice Location Address |
|---|---|
| Maija Peterfeso, MSW LICSW 7101 York Ave S Ste 317, Edina, MN 55435-4469 Ph: (763) 703-4215 | Maija Peterfeso, MSW LICSW 1197 Grand Ave, Saint Paul, MN 55105-2634 Ph: (763) 703-4215 |
Mr. Michael Joseph O'neill, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1919 University Ave W, Saint Paul, MN 55104 Phone: 651-266-7900 Fax: 651-266-7850 | |
Ms. Sharon Kay Geiger, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1919 University Ave W, Saint Paul, MN 55104 Phone: 651-266-7978 | |
Mrs. Karen Anne Stevensen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2469 University Ave W, Saint Paul, MN 55114 Phone: 612-720-5083 | |
Kathleen Lombardi, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1919 University Ave W Ste 200, Saint Paul, MN 55104 Phone: 651-266-7900 | |
Ms. Sherie Lou Bosak, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 821 Raymond Ave, #300, Saint Paul, MN 55114 Phone: 651-645-0438 Fax: 651-647-0659 | |
Helen Jane Gammon, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-2766 | |
Ken Wilfred Schmitz, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2469 University Ave W, Saint Paul, MN 55114 Phone: 651-659-0294 |