| Sophia Thoen, LICSW | |
|
4810 Highway 7 Apt 206, St Louis Park, MN 55416-2247 | |
| (507) 440-6247 | |
| Not Available |
| Full Name | Sophia Thoen |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 4810 Highway 7 Apt 206, St Louis Park, 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 4810 Highway 7 Apt 206, St Louis Park, MN 55416-2247 Ph: (507) 440-6247 | Sophia Thoen, LICSW 4810 Highway 7 Apt 206, St Louis Park, MN 55416-2247 Ph: (507) 440-6247 |
Bethany Lemere Rice, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5891 Cedar Lake Rd S, St Louis Park, MN 55416 Phone: 206-819-0957 | |
Ms. Susan Reynolds, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4601 Excelsior Blvd Ste 400, St Louis Park, MN 55416 Phone: 952-925-3533 | |
Amanda Mae Williams, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-1000 Fax: 952-883-9470 | |
Rachel Kathleen Syring, LGSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1665 Utica Ave S Ste 100, St Louis Park, MN 55416 Phone: 952-541-2682 | |
Kari Marie Palthe Anderson, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3931 Louisiana Ave S, St Louis Park, MN 55426 Phone: 952-993-6086 | |
Mr. George V Baboila, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6600 Excelsior Blvd, Ste 160, St Louis Park, MN 55426 Phone: 952-993-7707 | |
Shelly Grant, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 715 Florida Ave S Ste 307, St Louis Park, MN 55426 Phone: 952-544-6808 Fax: 952-545-0098 |