| Sumitra Dorner, | |
|
2616 Nicollet Ave, Minneapolis, MN 55408-1628 | |
| (612) 871-7878 | |
| (612) 871-2567 |
| Full Name | Sumitra Dorner |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 25 Years |
| Location | 2616 Nicollet Ave, Minneapolis, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962692798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 16073 (Minnesota) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Crown Medical Support Services Inc | 5597050542 | 2 |
| Entity Name | Crown Medical Support Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730546672 PECOS PAC ID: 5597050542 Enrollment ID: O20160830000899 |
| Entity Name | Twin Cities Recovery Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376162941 PECOS PAC ID: 1456730159 Enrollment ID: O20220627003493 |
| Entity Name | Recovery Alliance LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285258111 PECOS PAC ID: 7719361724 Enrollment ID: O20220824003526 |
| Mailing Address | Practice Location Address |
|---|---|
| Sumitra Dorner, 2616 Nicollet Ave, Minneapolis, MN 55408-1628 Ph: (612) 871-7878 | Sumitra Dorner, 2616 Nicollet Ave, Minneapolis, MN 55408-1628 Ph: (612) 871-7878 |
Mr. Tim D Sullivan, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 229 Ridgewood Ave, Apartment 112, Minneapolis, MN 55403 Phone: 612-600-7169 |
Catherine Elaine Mcnaughton, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 612-813-6138 |
Don Coleman, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2430 Nicollet Ave, Minneapolis, MN 55404 Phone: 612-871-1454 Fax: 612-871-1505 |
Alex Jacob Hoyt, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4027 County Road 25, Minneapolis, MN 55416 Phone: 612-925-6033 Fax: 612-925-8496 |
Elissa J Allen, LGSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 866-603-0016 |
Sydney Bartz, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Glenwood Ave, Minneapolis, MN 55405 Phone: 612-871-1454 |
Kristine Weber, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Glenwood Ave, Minneapolis, MN 55405 Phone: 612-871-1454 Fax: 612-871-1505 |