| Marisa Hutterer, LICSW | |
|
9574 Foley Blvd Nw, Coon Rapids, MN 55433-5537 | |
| (612) 346-9853 | |
| Not Available |
| Full Name | Marisa Hutterer |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 9574 Foley Blvd Nw, Coon Rapids, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821689894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 27433 (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 |
|---|---|
| Marisa Hutterer, LICSW 2400 W 64th St, Richfield, MN 55423-1001 Ph: Not Available | Marisa Hutterer, LICSW 9574 Foley Blvd Nw, Coon Rapids, MN 55433-5537 Ph: (612) 346-9853 |
Blythe Ellen Nelson, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 |
Ruth Eilts, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433 Phone: 763-767-3350 |
Angela Ronay, M.S.W, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10081 Dogwood St Nw, Suite 100, Coon Rapids, MN 55448 Phone: 763-783-3722 Fax: 763-783-7944 |
Jennifer Andrews, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9120 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 612-400-6121 |
Elizabeth Anne Johnson, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 Fax: 763-236-1066 |
Alexa Benevides Mcdermid, MSW, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 199 Coon Rapids Blvd Nw Ste 208, Coon Rapids, MN 55433 Phone: 952-491-0730 |
Mr. Joseph John Wittenberg, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11220 Crocus St Nw, Coon Rapids, MN 55433 Phone: 763-767-4702 |