| Woodnote Therapy Pllc | |
|
1913 S Washington St Grand Forks ND 58201-6339 | |
| (701) 317-6590 | |
| Not Available |
| Full Name | Woodnote Therapy Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1913 S Washington St, Grand Forks, North Dakota |
| Authorized Official Name and Position | Alexander Magelky (BILLING CONSULTANT) |
| Authorized Official Contact | 2183292705 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodnote Therapy Pllc 1913 S Washington St Ste C Grand Forks ND 58201-6339 Ph: (701) 757-1425 | Woodnote Therapy Pllc 1913 S Washington St Grand Forks ND 58201-6339 Ph: (701) 317-6590 |
| NPI Number | 1093479057 |
|---|---|
| Provider Enumeration Date | 10/26/2021 |
| Last Update Date | 01/20/2022 |
| Certification Date | 01/20/2022 |
| Medicare PECOS PAC ID | 0042601429 |
|---|---|
| Medicare Enrollment ID | O20211217002108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093479057 | NPI | - | NPPES |
| Provider Name | Winonah Monette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477931806 PECOS PAC ID: 3779844469 Enrollment ID: I20180220001861 |
| Provider Name | Gaudencia Palomo-burns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215271515 PECOS PAC ID: 5890121131 Enrollment ID: I20200205002397 |
| Provider Name | Caylee J Ellingson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700496775 PECOS PAC ID: 8224457213 Enrollment ID: I20200924000712 |
| Provider Name | Erica Cerda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801333125 PECOS PAC ID: 1951792332 Enrollment ID: I20220111002619 |
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