| Sophia Thoen, LICSW | |
|
10077 Dogwood St Nw Ste 110, Coon Rapids, MN 55448-5285 | |
| (651) 777-5222 | |
| Not Available |
| Full Name | Sophia Thoen |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 10077 Dogwood St Nw Ste 110, Coon Rapids, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700633427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 27992 (Minnesota) | Primary |
| Entity Name | Canvas Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922051325 PECOS PAC ID: 8729073978 Enrollment ID: O20040416001178 |
| Mailing Address | Practice Location Address |
|---|---|
| Sophia Thoen, LICSW 14313 Waco St Nw, Ramsey, MN 55303-6177 Ph: (507) 440-6247 | Sophia Thoen, LICSW 10077 Dogwood St Nw Ste 110, Coon Rapids, MN 55448-5285 Ph: (651) 777-5222 |
Blythe Ellen Nelson, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 | |
Ruth Eilts, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433 Phone: 763-767-3350 | |
Angela Ronay, M.S.W, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10081 Dogwood St Nw, Suite 100, Coon Rapids, MN 55448 Phone: 763-783-3722 Fax: 763-783-7944 | |
Jennifer Andrews, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9120 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 612-400-6121 | |
Elizabeth Anne Johnson, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 Fax: 763-236-1066 | |
Alexa Benevides Mcdermid, MSW, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 199 Coon Rapids Blvd Nw Ste 208, Coon Rapids, MN 55433 Phone: 952-491-0730 | |
Mr. Joseph John Wittenberg, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11220 Crocus St Nw, Coon Rapids, MN 55433 Phone: 763-767-4702 |