| A Willow Bends Llc | |
|
15088 22nd Ave Ne Little Falls MN 56345-4199 | |
| (203) 606-8983 | |
| Not Available |
| Full Name | A Willow Bends Llc |
|---|---|
| Speciality | Social Worker |
| Location | 15088 22nd Ave Ne, Little Falls, Minnesota |
| Authorized Official Name and Position | Nicole Linkert (OWNER & THERAPIST) |
| Authorized Official Contact | 3203606898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Willow Bends Llc 33325 Morrison Line Rd Cushing MN 56443-5172 Ph: (320) 360-6898 | A Willow Bends Llc 15088 22nd Ave Ne Little Falls MN 56345-4199 Ph: (203) 606-8983 |
| NPI Number | 1972344794 |
|---|---|
| Provider Enumeration Date | 06/05/2024 |
| Last Update Date | 06/05/2024 |
| Certification Date | 06/05/2024 |
| Medicare PECOS PAC ID | 5496294415 |
|---|---|
| Medicare Enrollment ID | O20240822000780 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972344794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Nicole K Linkert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902292543 PECOS PAC ID: 4486935160 Enrollment ID: I20170112000229 |
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