| Ms Amy Clark, LICSW | |
|
102 Marty Dr, Buffalo, MN 55313-9305 | |
| (763) 682-5420 | |
| (763) 682-5803 |
| Full Name | Ms Amy Clark |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 32 Years |
| Location | 102 Marty Dr, Buffalo, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700955259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1340 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Group Health Inc | 1759293954 | 1627 |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Amy Clark, LICSW 3226 Garfield St Ne, Minneapolis, MN 55418-2226 Ph: (612) 816-2361 | Ms Amy Clark, LICSW 102 Marty Dr, Buffalo, MN 55313-9305 Ph: (763) 682-5420 |
Stephanie E Barnes, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 308 12th Ave S, Buffalo, MN 55313 Phone: 763-682-4400 Fax: 763-682-1353 |
Nicholas O'rourke, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 802 Griffing Park Rd, Buffalo, MN 55313 Phone: 612-578-8052 |
Alexis A Koehler, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3650 Braddock Ave Ne Ste 2100, Buffalo, MN 55313 Phone: 763-477-8355 |
Christine Ann Dawson, LICSW, LIMHP Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 303 Catlin St Ste 1000, Buffalo, MN 55313 Phone: 763-682-1212 Fax: 763-427-0904 |
Mrs. Erica Rose Creighton, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 303 Catlin St, Buffalo, MN 55313 Phone: 763-682-5225 |
Christine Lee Kraklau-treichler, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3650 Braddock Ave Ne Ste 2100, Buffalo, MN 55313 Phone: 763-684-2331 Fax: 763-682-7701 |
Jessica Zylla, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3650 Braddock Ave Ne Ste 2100, Buffalo, MN 55313 Phone: 763-412-8496 |