| Nicole Marie Vlasich, LICSW | |
|
750 E 34th St, Hibbing, MN 55746-2341 | |
| (218) 362-6984 | |
| Not Available |
| Full Name | Nicole Marie Vlasich |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 750 E 34th St, Hibbing, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255053997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 27094 (* (Not Available)) | Primary |
| Entity Name | Range Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Marie Vlasich, LICSW 5520 Mcniven Rd, Chisholm, MN 55719-8402 Ph: (218) 969-4754 | Nicole Marie Vlasich, LICSW 750 E 34th St, Hibbing, MN 55746-2341 Ph: (218) 362-6984 |
Laura Maxwell, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 750 E 34th St, Hibbing, MN 55746 Phone: 218-362-6483 Fax: 218-362-6702 | |
Mrs. Collene Elizabeth Wheeler, LGSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2729 13th Ave E, Hibbing, MN 55746 Phone: 218-293-4789 | |
Elizabeth Mousseau Maldonado, LGSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2729 13th Ave E, Hibbing, MN 55746 Phone: 218-293-4789 | |
Ms. Marmie Pauline Jotter, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2602 1st Ave, Hibbing, MN 55746 Phone: 218-203-5949 Fax: 218-263-3771 | |
Duane D. Dale, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3203 3rd Ave W, Hibbing, MN 55746 Phone: 218-263-9237 | |
Connie S Selden, MSW LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3203 W 3rd Ave, Range Mental Health Center Perpich Building, Hibbing, MN 55746 Phone: 218-263-9237 Fax: 218-262-3150 |