| Nicole Kaul, MSW, LICSW | |
|
1405 Lilac Dr N Ste 151, Golden Valley, MN 55422-4536 | |
| (763) 525-1746 | |
| Not Available |
| Full Name | Nicole Kaul |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1405 Lilac Dr N Ste 151, Golden Valley, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205487980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 25444 (Minnesota) | Primary |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Kaul, MSW, LICSW 3322 15th Ave S Apt 2, Minneapolis, MN 55407-7209 Ph: () - | Nicole Kaul, MSW, LICSW 1405 Lilac Dr N Ste 151, Golden Valley, MN 55422-4536 Ph: (763) 525-1746 |
Iva Joan Stauffer, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5905 Golden Valley Rd, Suite 100, Golden Valley, MN 55422 Phone: 612-617-7802 Fax: 612-331-6772 | |
Melia Joy Mccubbin, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 701 Decatur Ave N, Suite 109, Golden Valley, MN 55427 Phone: 763-746-2400 | |
Irwin Thompson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5905 Golden Valley Rd Ste 100, Golden Valley, MN 55422 Phone: 763-753-7310 Fax: 763-753-6529 | |
Mrs. Joyce Lynn Ratner, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8085 Wayzata Blvd, Golden Valley, MN 55426 Phone: 612-281-6391 | |
Soreya Mohamud Jama, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1710 Douglas Dr N Ste 226x, Golden Valley, MN 55422 Phone: 612-703-8828 Fax: 952-658-0434 | |
Ms. Rebecca Ann Malooly, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5600 Loring Ln, Golden Valley, MN 55422 Phone: 651-439-0708 | |
Saundra Bryant-lamb, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8401 Wayzata Blvd, Golden Valley, MN 55426 Phone: 763-544-1006 |