Mrs Kelly L S Cook, LICSW | |
2700 1st St N Ste 100, Saint Cloud, MN 56303-4585 | |
(320) 223-0503 | |
(800) 692-2098 |
Full Name | Mrs Kelly L S Cook |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 22 Years |
Location | 2700 1st St N Ste 100, Saint Cloud, Minnesota |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790847135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 17541 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Affinity Psychological Services Pc | 0749528552 | 25 |
Entity Name | Affinity Psychological Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245610856 PECOS PAC ID: 0749528552 Enrollment ID: O20190220001363 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kelly L S Cook, LICSW 2700 1st St N Ste 100, Saint Cloud, MN 56303-4585 Ph: (320) 223-0503 | Mrs Kelly L S Cook, LICSW 2700 1st St N Ste 100, Saint Cloud, MN 56303-4585 Ph: (320) 223-0503 |
Patricia Ann Meyer, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 | |
Katherine Carol Logeais Hissam, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 Fax: 320-255-6328 | |
Carrie Gapinski, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1411 W Saint Germain St Ste 202, Saint Cloud, MN 56301 Phone: 320-247-4068 | |
Lyndsey Lanes, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 | |
Erin Talberg, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 Fax: 320-654-7662 | |
Jamie Nicole Schmitz, MSW, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-255-6480 | |
Julie Gail Shuster, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 110 6th Ave S, Saint Cloud, MN 56301 Phone: 320-253-5930 Fax: 651-925-0057 |