| Vanessa Marie Wananu, MSW, LICSW | |
|
1426 Bemidji Ave N Ste 1, Bemidji, MN 56601-3882 | |
| (218) 444-2233 | |
| (218) 237-2520 |
| Full Name | Vanessa Marie Wananu |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1426 Bemidji Ave N Ste 1, Bemidji, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184997710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 27466 (Minnesota) | Primary |
| Entity Name | Lake Country Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104151588 PECOS PAC ID: 3779610472 Enrollment ID: O20100429000429 |
| Mailing Address | Practice Location Address |
|---|---|
| Vanessa Marie Wananu, MSW, LICSW 1426 Bemidji Ave N Ste 1, Bemidji, MN 56601-3882 Ph: (218) 444-2233 | Vanessa Marie Wananu, MSW, LICSW 1426 Bemidji Ave N Ste 1, Bemidji, MN 56601-3882 Ph: (218) 444-2233 |
Sahgahsega Merseth, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 800 Bemidji Ave N, Bemidji, MN 56601 Phone: 218-308-2400 | |
Abbey Bohlman, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 519 Anne St Nw Ste B, Bemidji, MN 56601 Phone: 218-444-2845 | |
Jennifer J Pirkl, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1300 Anne St Nw, Bemidji, MN 56601 Phone: 218-333-5000 Fax: 218-444-2847 | |
Jeffrey Scott Widner, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 403 4th St Nw Ste 115, Bemidji, MN 56601 Phone: 218-214-9389 Fax: 218-517-2034 | |
Geri C Wilimek, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 514 Beltrami Ave Nw Ste 102, Bemidji, MN 56601 Phone: 218-209-8234 | |
Mrs. Kimberly Jean Sletta Avenson, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 722 15th Street N.w., Bemidji, MN 56619 Phone: 218-751-3280 Fax: 218-751-3298 |