Amy Patrice Kuusisto-lathrop, MSW, LICSW in Brooklyn Center, MN

Amy Patrice Kuusisto-lathrop, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Brooklyn Center, Minnesota. Her current practice location is 6200 Shingle Creek Pkwy Ste 350, Brooklyn Center, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 503-8560.

Amy Patrice Kuusisto-lathrop is licensed to practice in Minnesota (license number 10798) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275699381.

Contact Information

	Amy Patrice Kuusisto-lathrop, MSW, LICSW
	6200 Shingle Creek Pkwy Ste 350, Brooklyn Center, MN 55430-2155
	(763) 503-8560
	(763) 503-8563

Map and Direction

Healthcare Provider's Profile

Full Name	Amy Patrice Kuusisto-lathrop
Gender	Female
Speciality	Social Worker - Clinical
Location	6200 Shingle Creek Pkwy Ste 350, Brooklyn Center, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275699381
Provider Enumeration Date: 12/31/2006
Last Update Date: 01/18/2023

Medicare PECOS Information:

PECOS PAC ID: 5193197143
Enrollment ID: I20230221000916

Medical Identifiers

Medical identifiers for Amy Patrice Kuusisto-lathrop such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275699381	NPI	-	NPPES
29155880	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	10798 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amy Patrice Kuusisto-lathrop allows following entities to bill medicare on her behalf.

Entity Name	Ramsey County Mental Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235299124 PECOS PAC ID: 5092627000 Enrollment ID: O20040303000748

Entity Name	Associated Clinic Of Psychology Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588741292 PECOS PAC ID: 0749171320 Enrollment ID: O20040323000833

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy Patrice Kuusisto-lathrop is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Amy Patrice Kuusisto-lathrop, MSW, LICSW 4240 Park Glen Rd, St Louis Park, MN 55416-5427 Ph: (612) 925-6033	Amy Patrice Kuusisto-lathrop, MSW, LICSW 6200 Shingle Creek Pkwy Ste 350, Brooklyn Center, MN 55430-2155 Ph: (763) 503-8560

Reviews and Comments

Social Worker in Brooklyn Center, MN

Melissa Wollman, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6000 Earle Brown Dr, Brooklyn Center, MN 55430 Phone: 952-993-4900
Bobbi Jo B. Krieg, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5910 Shingle Creek Pkwy, Brooklyn Center, MN 55430 Phone: 763-569-5200 Fax: 763-569-5201
Thomas R. Alf, LICSW, CPRP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5615 Brooklyn Blvd Ste 200, Brooklyn Center, MN 55429 Phone: 763-537-6612
Ms. Skye Davis, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5701 Shingle Creek Pkwy Ste 550, Brooklyn Center, MN 55430 Phone: 763-560-9621
Abigail Lane, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5910 Shingle Creek Pkwy, Brooklyn Center, MN 55430 Phone: 763-569-5200 Fax: 763-569-5201
Ashley Michelle Beltrame, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6040 Earle Brown Dr Ste 420, Brooklyn Center, MN 55430 Phone: 952-522-1814
Michael Elliot Falck, LICSW, CPRP, MA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5615 Brooklyn Blvd Ste 200, Brooklyn Center, MN 55429 Phone: 763-537-6612 Fax: 763-537-7162

Amy Patrice Kuusisto-lathrop, MSW, LICSW - Medicare Clinical Social Worker in Brooklyn Center, MN