| Mrs Tammy Dawn Ness, LICSW | |
|
104 20th Ave Sw Ste 4, Minot, ND 58701-6572 | |
| (701) 720-8876 | |
| Not Available |
| Full Name | Mrs Tammy Dawn Ness |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 104 20th Ave Sw Ste 4, Minot, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558458265 | NPI | - | NPPES |
| 028715 | Other | ND | BLUE CROSS BLUE SHIELD |
| 19192 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1712 (North Dakota) | Primary |
| Entity Name | Northwest Human Service Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770524613 PECOS PAC ID: 4183683196 Enrollment ID: O20041006000330 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tammy Dawn Ness, LICSW 104 20th Ave Sw Ste 4, Minot, ND 58701-6572 Ph: (701) 720-8876 | Mrs Tammy Dawn Ness, LICSW 104 20th Ave Sw Ste 4, Minot, ND 58701-6572 Ph: (701) 720-8876 |
Bruce F Andersen, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1900 8th Ave Se, Minot, ND 58701 Phone: 701-418-8000 | |
Mr. James Lein, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1705 4th Ave Nw, Minot, ND 58703 Phone: 701-839-0474 Fax: 701-839-0713 | |
Mr. Orvin G. Lommen, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: #9 Cortland Drive, Minot, ND 58703 Phone: 701-240-7944 Fax: 701-857-8555 | |
Kayla Elaine Durand-goheen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21 Main St S Ste 201, Minot, ND 58701 Phone: 701-355-6800 | |
Susan E Stein, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 22nd Ave Nw, Minot, ND 58703 Phone: 701-837-6508 Fax: 701-858-1839 | |
Mrs. Laura Howery Siercks, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1015 S Broadway, Suite 18, Minot, ND 58701 Phone: 701-857-8500 Fax: 701-857-8555 | |
Brian Grant Kay, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 194 Missile Ave, Minot, ND 58705 Phone: 701-723-5527 |