| Melissa Wollman, LICSW | |
|
6000 Earle Brown Dr, Brooklyn Center, MN 55430-2506 | |
| (952) 993-4900 | |
| Not Available |
| Full Name | Melissa Wollman |
|---|---|
| Gender | Female |
| Speciality | Social Worker |
| Location | 6000 Earle Brown Dr, Brooklyn Center, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013760982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 20945 (Minnesota) | Secondary |
| 104100000X | Social Worker | 20945 (Minnesota) | Primary |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Wollman, LICSW 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Melissa Wollman, LICSW 6000 Earle Brown Dr, Brooklyn Center, MN 55430-2506 Ph: (952) 993-4900 |
Bobbi Jo B. Krieg, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5910 Shingle Creek Pkwy, Brooklyn Center, MN 55430 Phone: 763-569-5200 Fax: 763-569-5201 | |
Thomas R. Alf, LICSW, CPRP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5615 Brooklyn Blvd Ste 200, Brooklyn Center, MN 55429 Phone: 763-537-6612 | |
Ms. Skye Davis, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5701 Shingle Creek Pkwy Ste 550, Brooklyn Center, MN 55430 Phone: 763-560-9621 | |
Abigail Lane, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5910 Shingle Creek Pkwy, Brooklyn Center, MN 55430 Phone: 763-569-5200 Fax: 763-569-5201 | |
Ashley Michelle Beltrame, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6040 Earle Brown Dr Ste 420, Brooklyn Center, MN 55430 Phone: 952-522-1814 | |
Michael Elliot Falck, LICSW, CPRP, MA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5615 Brooklyn Blvd Ste 200, Brooklyn Center, MN 55429 Phone: 763-537-6612 Fax: 763-537-7162 |