| Mrs Tricia May Johnson, LICSW | |
|
1715 Sheppard Dr, Saint Peter, MN 56082-2539 | |
| (507) 934-7788 | |
| (507) 934-2594 |
| Full Name | Mrs Tricia May Johnson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1715 Sheppard Dr, 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 |
|---|---|---|---|
| 1700375623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 22335 (Minnesota) | Primary |
| Entity Name | Leo A Hoffmann Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407376072 PECOS PAC ID: 6709117500 Enrollment ID: O20200113001208 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tricia May Johnson, LICSW Po Box 60, Saint Peter, MN 56082-0060 Ph: (507) 934-7788 | Mrs Tricia May Johnson, LICSW 1715 Sheppard Dr, Saint Peter, MN 56082-2539 Ph: (507) 934-7788 |
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 | |
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 | |
Stacy Rutt, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Freeman Dr, Saint Peter, MN 56082 Phone: 507-985-2902 |