Susan Rae Pacyga, LICSW LMFT is a
Marriage & Family Therapist based in Lakeville, Minnesota. Susan Rae Pacyga is licensed to practice in Minnesota (license number 0648) and her current practice location is
17305 Cedar Ave South, Suite 230, Lakeville, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(952) 435-4144.
NPI number for Susan Rae Pacyga is 1831261742 and her current mailing address is 2358 Sumac Way, Woodbury, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831261742.
Healthcare Provider's Profile
| Full Name | Susan Rae Pacyga |
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| Gender | Female |
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| Speciality | Marriage & Family Therapist |
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| Location | 17305 Cedar Ave South, Lakeville, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1831261742
- Provider Enumeration Date: 11/15/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Susan Rae Pacyga such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831261742 | NPI | - | NPPES |
| 552GPA | Other | MN | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 06673 (Minnesota) | Primary |
| 1041C0700X | Social Worker - Clinical | 6837-123 (Wisconsin) | Primary |
| 106H00000X | Marriage & Family Therapist | 0648 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan Rae Pacyga is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Susan Rae Pacyga, LICSW LMFT
2358 Sumac Way,
Woodbury, MN 55125
Ph: (613) 330-7098 | Susan Rae Pacyga, LICSW LMFT
17305 Cedar Ave South, Suite 230,
Lakeville, MN 55044
Ph: (952) 435-4144 |
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