| Northwoods Therapeutic Services | |
|
1771 Big Lake Rd Cloquet MN 55720-9704 | |
| (612) 986-0638 | |
| Not Available |
| Full Name | Northwoods Therapeutic Services |
|---|---|
| Speciality | Social Worker |
| Location | 1771 Big Lake Rd, Cloquet, Minnesota |
| Authorized Official Name and Position | Nicole Marie Hawkins (OWNER) |
| Authorized Official Contact | 6129860638 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwoods Therapeutic Services 1771 Big Lake Rd Cloquet MN 55720-9704 Ph: (612) 986-0638 | Northwoods Therapeutic Services 1771 Big Lake Rd Cloquet MN 55720-9704 Ph: (612) 986-0638 |
| NPI Number | 1427866128 |
|---|---|
| Provider Enumeration Date | 12/26/2024 |
| Last Update Date | 12/26/2024 |
| Certification Date | 12/26/2024 |
| Medicare PECOS PAC ID | 5799296117 |
|---|---|
| Medicare Enrollment ID | O20250613000536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427866128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Nicole M Hawkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194204420 PECOS PAC ID: 2062764731 Enrollment ID: I20181008000968 |
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