| Mrs Mary Sue Fonkert, MSW, LCSW | |
| 1309 10th Ave W, Mobridge, SD 57601-1146 | |
| (605) 845-8225 | |
| Not Available | 
| Full Name | Mrs Mary Sue Fonkert | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 1309 10th Ave W, Mobridge, South Dakota | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1245327584 | NPI | - | NPPES | 
| 41548 | Other | SD | MENTAL HEALTH PROVIDER | 
| 96869 | Other | SD | MENTAL HEALTH PROVIDER | 
| 4996672 | Other | SD | MENTAL HEALTH PROVIDER | 
| 177544 | Other | SD | MENTAL HEALTH | 
| 6570960 | Medicaid | SD | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1852 (South Dakota) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Mary Sue Fonkert, MSW, LCSW Box 133, Mobridge, SD 57601-0133 Ph: (605) 845-7938 | Mrs Mary Sue Fonkert, MSW, LCSW 1309 10th Ave W, Mobridge, SD 57601-1146 Ph: (605) 845-8225 | 
| Ms. Janet Marie Lassen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12451 Hwy 1806 N, Mobridge, SD 57601 Phone: 605-845-7181 Fax: 605-845-5072 |