| Maita Yang, LICSW | |
|
11468 Marketplace Dr N Ste 600-1267, Champlin, MN 55316-3872 | |
| (763) 267-2520 | |
| Not Available |
| Full Name | Maita Yang |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 11468 Marketplace Dr N Ste 600-1267, Champlin, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881302172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 23020 (Minnesota) | Primary |
| 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 | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20230310000874 |
| Mailing Address | Practice Location Address |
|---|---|
| Maita Yang, LICSW 9994 190th Ave Nw, Elk River, MN 55330-2459 Ph: (763) 267-2520 | Maita Yang, LICSW 11468 Marketplace Dr N Ste 600-1267, Champlin, MN 55316-3872 Ph: (763) 267-2520 |
Lindsey Nicole Job, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-236-0600 | |
Jessica Ladner, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11468 Marketplace Dr N Ste 600-324, Champlin, MN 55316 Phone: 763-260-5730 Fax: 763-220-3738 | |
Mr. Christopher David Emery, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11141 Zealand Ave N, Champlin, MN 55316 Phone: 763-442-8101 Fax: 763-951-3097 | |
Mrs. Song Lor Anderson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11205 Virginia Ave N, Champlin, MN 55316 Phone: 763-315-1401 Fax: 763-315-1401 | |
Ms. Kimberly Lynne Sobon, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7914 113th Ave N, Champlin, MN 55316 Phone: 612-483-6452 | |
Michelle R. Mandell-paulson, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11165 Zealand Ave N, Champlin, MN 55316 Phone: 763-531-0566 |