| Mr Christopher David Emery, MSW, LICSW | |
|
11141 Zealand Ave N, Champlin, MN 55316-3595 | |
| (763) 442-8101 | |
| (763) 951-3097 |
| Full Name | Mr Christopher David Emery |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 11141 Zealand Ave N, Champlin, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477693851 | NPI | - | NPPES |
| 6250783 | Other | MN | MEDICA |
| 919649800 | Other | MN MEDICAL ASSISTANCE | |
| 1033374 | Other | PREFERRED ONE | |
| 919649800 | Medicaid | MN | |
| 229340 | Other | OPTUM | |
| 6250783 | Other | UBH | |
| HP40382 | Other | HEALTHPARTNERS | |
| 207KEM | Other | MN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 10089 (Minnesota) | Primary |
| Entity Name | Beacon Therapy Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407084031 PECOS PAC ID: 4284887472 Enrollment ID: O20130122000412 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Christopher David Emery, MSW, LICSW 11141 Zealand Ave N, Champlin, MN 55316-3595 Ph: (763) 442-8101 | Mr Christopher David Emery, MSW, LICSW 11141 Zealand Ave N, Champlin, MN 55316-3595 Ph: (763) 442-8101 |
Lindsey Nicole Job, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-236-0600 | |
Jessica Ladner, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11468 Marketplace Dr N Ste 600-324, Champlin, MN 55316 Phone: 763-260-5730 Fax: 763-220-3738 | |
Mrs. Song Lor Anderson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11205 Virginia Ave N, Champlin, MN 55316 Phone: 763-315-1401 Fax: 763-315-1401 | |
Ms. Kimberly Lynne Sobon, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7914 113th Ave N, Champlin, MN 55316 Phone: 612-483-6452 | |
Maita Yang, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11468 Marketplace Dr N Ste 600-1267, Champlin, MN 55316 Phone: 763-267-2520 | |
Michelle R. Mandell-paulson, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11165 Zealand Ave N, Champlin, MN 55316 Phone: 763-531-0566 |