Individual
MS. JODY ANN KIRCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Contact information
Practice address
1406 6TH AVENUE NORTH, ST CLOUD HOSPITAL, ST CLOUD, MN 56303-1901
(320) 251-2700
(320) 656-7115
Mailing address
1406 6TH AVENUE NORTH, ST CLOUD HOSPITAL, ST CLOUD, MN 56303-1901
(320) 251-2700
(320) 656-7115
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10908
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136782C851
UCARE
—
01
—
218727
OPTUM
—
05
—
352192300
—
MN
01
—
6252030
MEDICA
—
01
—
68G64K1
BCBS
—
01
—
922241034347
PREFERRED ONE
—
01
—
HP39294
HEALTH PARTNERS
—
Enumeration date
06/14/2006
Last updated
03/30/2017
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