| Melissa Pascoe, LGSW | |
|
4525 White Bear Pkwy Ste 119, White Bear Lake, MN 55110-7666 | |
| (612) 467-9212 | |
| Not Available |
| Full Name | Melissa Pascoe |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 4525 White Bear Pkwy Ste 119, White Bear Lake, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417528126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 29313 (Minnesota) | Primary |
| Entity Name | Metanoia Therapy, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063050615 PECOS PAC ID: 7214395102 Enrollment ID: O20230626001132 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Pascoe, LGSW 1681 Dayton Ave Apt 1, Saint Paul, MN 55104-6189 Ph: (612) 404-8485 | Melissa Pascoe, LGSW 4525 White Bear Pkwy Ste 119, White Bear Lake, MN 55110-7666 Ph: (612) 467-9212 |
Connie Toavs, MSW, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 4505 White Bear Pkwy Ste 1500, White Bear Lake, MN 55110 Phone: 651-493-8150 Fax: 651-493-9335 | |
Leanne Mairs, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6046 Sargent Ct N, White Bear Lake, MN 55110 Phone: 651-249-1750 | |
Erin Ernestine Forsman, M.S.W., LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1280 N Birch Lake Blvd, White Bear Lake, MN 55110 Phone: 651-429-8544 Fax: 651-407-5301 | |
Mrs. Dorothy Carmelite Enockson Sr., LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4901 Johnson Ave, White Bear Lake, MN 55110 Phone: 651-426-6374 | |
Mr. Steven P Sawyer, MSSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4505 White Bear Pkwy, Suite 2200, White Bear Lake, MN 55110 Phone: 612-590-3190 | |
Benjamin Dieffenbach, MSW, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 2368 Joy Ave, White Bear Lake, MN 55110 Phone: 651-338-9435 |