Ms Jennifer Ann Itskovich, MSW is a
Social Worker - Clinical based in Woodbury, Minnesota. Ms Jennifer Ann Itskovich is licensed to practice in Minnesota (license number 20368) and her current practice location is
700 Commerce Dr Ste 255, Woodbury, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(651) 714-3848.
NPI number for Ms Jennifer Ann Itskovich is 1427265255 and her current mailing address is 10634 E Riverside Dr Ste 130, Bothell, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427265255.
Healthcare Provider's Profile
| Full Name | Ms Jennifer Ann Itskovich |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 700 Commerce Dr Ste 255, Woodbury, 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: 1427265255
- Provider Enumeration Date: 05/17/2007
- Last Update Date: 09/30/2022
Medical Identifiers
Medical identifiers for Ms Jennifer Ann Itskovich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427265255 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | LW00009171 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | 20368 (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. Ms Jennifer Ann Itskovich 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 |
|---|
Ms Jennifer Ann Itskovich, MSW
10634 E Riverside Dr Ste 130,
Bothell, WA 98011-3758
Ph: (425) 821-5021 | Ms Jennifer Ann Itskovich, MSW
700 Commerce Dr Ste 255,
Woodbury, MN 55125-5406
Ph: (651) 714-3848 |
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