| South Metro Human Services | |
|
166 4th St E Saint Paul MN 55101-1421 | |
| (651) 291-1979 | |
| (651) 291-7378 |
| Full Name | South Metro Human Services |
|---|---|
| Speciality | Social Worker |
| Location | 166 4th St E, Saint Paul, Minnesota |
| Authorized Official Name and Position | Tom Paul (PRESIDENT) |
| Authorized Official Contact | 6512561234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Metro Human Services 166 4th St E St Paul MN 55101 Ph: (651) 389-4690 | South Metro Human Services 166 4th St E Saint Paul MN 55101-1421 Ph: (651) 291-1979 |
| NPI Number | 1578642757 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 05/21/2015 |
| Medicare PECOS PAC ID | 4284734880 |
|---|---|
| Medicare Enrollment ID | O20070711000923 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578642757 | NPI | - | NPPES |
| 719178200 | Medicaid | MN |
| Provider Name | Jeffrey H Richards |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306819172 PECOS PAC ID: 3678544640 Enrollment ID: I20040803001389 |
| Provider Name | Patrice L Lauer-roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750366167 PECOS PAC ID: 0042269284 Enrollment ID: I20050114000425 |
| Provider Name | Victoria Louise Brown-nyseth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538329263 PECOS PAC ID: 1254671498 Enrollment ID: I20190325002716 |
| Provider Name | Laura Lynett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952778656 PECOS PAC ID: 2264975705 Enrollment ID: I20240625001441 |
| Provider Name | Sara M Ewing |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609292465 PECOS PAC ID: 6709302102 Enrollment ID: I20250429002010 |
| Provider Name | Elizabeth J Kalmon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245052737 PECOS PAC ID: 0547786899 Enrollment ID: I20250429002823 |
| Provider Name | Adam O'neill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689118200 PECOS PAC ID: 3678090016 Enrollment ID: I20250508001370 |
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Tanglefish Emotional Healing Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 821 Raymond Ave Ste 300, Saint Paul, MN 55114 Phone: 612-213-4510 Fax: 612-361-5464 | |
Persevere Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 719 Payne Ave, Saint Paul, MN 55130 Phone: 651-376-9427 | |
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