| Shelley K Hansen, Lsw, Ma, Lp, Llc | |
|
105 East Fourth Street Suite 302 Northfield MN 55057-2050 | |
| (612) 532-6741 | |
| Not Available |
| Full Name | Shelley K Hansen, Lsw, Ma, Lp, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 105 East Fourth Street, Northfield, Minnesota |
| Authorized Official Name and Position | Shelley Kay Hansen (OWNER) |
| Authorized Official Contact | 6125326741 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelley K Hansen, Lsw, Ma, Lp, Llc 105 East Fourth Street Suite 302 Northfield MN 55057-2050 Ph: (612) 532-6741 | Shelley K Hansen, Lsw, Ma, Lp, Llc 105 East Fourth Street Suite 302 Northfield MN 55057-2050 Ph: (612) 532-6741 |
| NPI Number | 1396084901 |
|---|---|
| Provider Enumeration Date | 02/04/2013 |
| Last Update Date | 04/02/2014 |
| Medicare PECOS PAC ID | 6305074824 |
|---|---|
| Medicare Enrollment ID | O20140108000646 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396084901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LSW5063 (Minnesota) | Secondary |
| 103TC0700X | Psychologist - Clinical | LP3954 (Minnesota) | Primary |
| Provider Name | Shelley K Hansen |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1740343532 PECOS PAC ID: 1759519275 Enrollment ID: I20230310000136 |
Daniel Dimick, Ma, Lp, Lmft, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 4th St E Ste 304, Northfield, MN 55057 Phone: 507-645-6575 Fax: 507-645-7822 | |
Tena Roethle Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 400 Washington St Ste 229, Northfield, MN 55057 Phone: 507-951-8500 | |
Just Bee Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Washington St Ste 221, Northfield, MN 55057 Phone: 612-470-7031 | |
Centered Practice Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 401 Division St S, Suite C, Northfield, MN 55057 Phone: 507-649-7294 | |
Create Meaning Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1211 Winona St, Northfield, MN 55057 Phone: 507-350-7785 | |
Stacey Klempnauer Msw, Licsw Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 402 Washington St, Northfield, MN 55057 Phone: 507-645-0444 |