| Melinda Young, | |
|
14701 Victor Hugo Blvd N, Hugo, MN 55038-4561 | |
| (651) 426-1141 | |
| Not Available |
| Full Name | Melinda Young |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 14701 Victor Hugo Blvd N, Hugo, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740656289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 18082 (Minnesota) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| Entity Name | Canvas Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922051325 PECOS PAC ID: 8729073978 Enrollment ID: O20040416001178 |
| Mailing Address | Practice Location Address |
|---|---|
| Melinda Young, 345 Smith Ave N, Saint Paul, MN 55102-2346 Ph: () - | Melinda Young, 14701 Victor Hugo Blvd N, Hugo, MN 55038-4561 Ph: (651) 426-1141 |
Jessie Christine Mcdole, MSW, TGLS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4638 Victor Path Ste 900, Hugo, MN 55038 Phone: 651-364-3839 Fax: 651-364-3840 | |
Leona Ann Stern-tuomala, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4638 Victor Path Ste 900, Hugo, MN 55038 Phone: 651-364-3839 Fax: 651-364-3840 | |
Tamara Lee Langford, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4638 Victor Path, Hugo, MN 55038 Phone: 651-364-3839 |