| Michelle Corrine Holt, LICSW | |
|
1306 Marshall St, Saint Peter, MN 56082-4500 | |
| (507) 931-8040 | |
| (507) 931-8060 |
| Full Name | Michelle Corrine Holt |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1306 Marshall St, Saint Peter, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487210159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 22730 (Minnesota) | Primary |
| Entity Name | Optimal Brain Mn Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609614957 PECOS PAC ID: 6709317787 Enrollment ID: O20241001002954 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Corrine Holt, LICSW 1306 Marshall St, Saint Peter, MN 56082-4500 Ph: (507) 931-8040 | Michelle Corrine Holt, LICSW 1306 Marshall St, Saint Peter, MN 56082-4500 Ph: (507) 931-8040 |
Brenda Todd-bense, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 116 S 3rd St, Saint Peter, MN 56082 Phone: 507-931-8040 | |
Michelle Olivia Olund Youngberg, LGSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1306 Marshall St, Saint Peter, MN 56082 Phone: 507-931-8040 Fax: 507-931-8040 | |
Tiana Monique Fitzsimmons, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1306 Marshall St, Saint Peter, MN 56082 Phone: 507-931-8040 Fax: 507-931-8060 | |
Nicole Mariah Goettl Morales, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Freeman Dr, Saint Peter, MN 56082 Phone: 507-985-2373 | |
Melanie Jean Wurtzberger, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Freeman Dr, Saint Peter, MN 56082 Phone: 507-985-2686 | |
Beth Leavitt, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 116 S 3rd St, Saint Peter, MN 56082 Phone: 507-931-8040 Fax: 507-931-8060 | |
Rebecca Robinson-wargelin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Freeman Dr, Saint Peter, MN 56082 Phone: 507-985-2144 |