| Stacy A Quinn, | |
|
9352 Oak Ave, Waconia, MN 55387-9422 | |
| (952) 955-4714 | |
| Not Available |
| Full Name | Stacy A Quinn |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 9352 Oak Ave, Waconia, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245954171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 20874 (Minnesota) | Primary |
| Entity Name | Affinity Psychological Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245610856 PECOS PAC ID: 0749528552 Enrollment ID: O20190220001363 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy A Quinn, 11719 Waterford Rd, Eden Prairie, MN 55347-2016 Ph: (612) 481-8193 | Stacy A Quinn, 9352 Oak Ave, Waconia, MN 55387-9422 Ph: (952) 955-4714 |
Kimberly Jo Hendrickson, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 540 E 1st St, Waconia, MN 55387 Phone: 952-442-4437 Fax: 952-442-3084 | |
Chezni Rang, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 540 E 1st St, Waconia, MN 55387 Phone: 952-442-4437 Fax: 952-442-3084 | |
Ms. Alene Chelman, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 540 E 1st St, Waconia, MN 55387 Phone: 952-442-4437 Fax: 952-442-3084 | |
Emily Kruger, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 540 E 1st St, Waconia, MN 55387 Phone: 952-442-4437 Fax: 952-442-3084 | |
Jason Kosmatka, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 540 E 1st St, Waconia, MN 55387 Phone: 952-442-4437 Fax: 952-442-3084 | |
Patrick Jeremiah Clark, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 540 E First St, Waconia, MN 55387 Phone: 952-442-4437 Fax: 952-442-3084 |