| Northwood Children's Services, Inc. | |
|
4000 W 9th St Duluth MN 55807-1563 | |
| (218) 625-2669 | |
| (218) 625-2698 |
| Full Name | Northwood Children's Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4000 W 9th St, Duluth, Minnesota |
| Authorized Official Name and Position | Melissa Winkler (DIRECTOR OF QUALITY ASSURANCE) |
| Authorized Official Contact | 2186252638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwood Children's Services, Inc. 4000 W 9th St Duluth MN 55807-1563 Ph: (218) 625-2669 | Northwood Children's Services, Inc. 4000 W 9th St Duluth MN 55807-1563 Ph: (218) 625-2669 |
| NPI Number | 1194881433 |
|---|---|
| Provider Enumeration Date | 12/29/2006 |
| Last Update Date | 05/12/2021 |
| Certification Date | 05/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194881433 | NPI | - | NPPES |
| 845717 | Other | MEDICA | |
| 122L9NO | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (NU) | Secondary |
| 103T00000X | Psychologist | (NU) | Secondary |
| 104100000X | Social Worker | (NU) | Secondary |
| 251S00000X | Community/behavioral Health | (NU) | Primary |
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