Debra R Ellison (NPI# 1326077652, PAC ID# 8325015811) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1326077652 |
| PAC ID by PECOS | 8325015811 |
| Professional Enrollment ID | I20040914000781 |
| Full Name | Debra R Ellison |
| Organization Legal Name | HUMAN DEVELOPMENT CENTER |
| Address |
629 1st Ave Two Harbors MN 55616-1505 |
| Phone Number | 2188345520 |
| Gender | F |
| Credential | CSW |
| Graduation Year | 1993 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 2961485909 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 40 11th St, Cloquet, MN 55720-1817 | 2188794559 | HUMAN DEVELOPMENT CENTER |
| 629 1st Ave, Two Harbors, MN 55616-1505 | 2188345520 | HUMAN DEVELOPMENT CENTER |
| Organization Legal Name | HUMAN DEVELOPMENT CENTER |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy D Perrett | Clinical Social Worker | Human Development Center | 325 11th Ave, Two Harbors, MN 55616-1300 |
| Eric J Carlson | Clinical Social Worker | Human Development Center | 810 E 4th St, Duluth, MN 55805-2147 |
| Rebecca H Oachs | Clinical Social Worker | Human Development Center | 1406 E 2nd St, Duluth, MN 55805-2378 |
| Dione D Johnson | Clinical Social Worker | Human Development Center | 40 11th St, Cloquet, MN 55720-1817 |
| Jane-marie B Asay | Clinical Social Worker | Human Development Center | 1807w Hwy 61, Grand Marais, MN 55604-7503 |
| Scott K Johnson | Clinical Social Worker | Human Development Center | 1401 E 1st St, Duluth, MN 55805-2407 |
| Margaret Mary Saracino | Psychiatry | Human Development Center | 1500 N 34th St, Suite 100, Superior, WI 54880-4476 |
| Amy J Suomi | Nurse Practitioner | Human Development Center | 40 11th St, Cloquet, MN 55720-1817 |
| Kathryn M Palm | Nurse Practitioner | Human Development Center | 1401 E 1st St, Duluth, MN 55805-2407 |
| Amy L Lisdahl | Nurse Practitioner | Human Development Center | 1500 N 34th St, Suite 100, Superior, WI 54880-4476 |
| Street Address |
629 1ST AVE |
| City | TWO HARBORS |
| State | MN |
| Zip | 55616-1505 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard Y Josephs | Family Medicine | Lake View Memorial Hospital, Incorporated | 1010 4th St, Two Harbors, MN 55616-1200 |
| Thomas A Peterson | Family Medicine | Lake View Memorial Hospital, Incorporated | 1010 4th St, Two Harbors, MN 55616-1200 |
| Eric T Hanhan | Family Medicine | Lake View Memorial Hospital, Incorporated | 1010 4th St, Two Harbors, MN 55616-1200 |
| Sarah J Nord | Nurse Practitioner | Lake View Memorial Hospital, Incorporated | 1010 4th St, Two Harbors, MN 55616-1200 |
| Kristin D Winterer | Certified Registered Nurse Anesthetist (crna) | Lake View Memorial Hospital, Incorporated | 1010 4th St, Two Harbors, MN 55616-1200 |
| Kelsey M Schultz | Family Medicine | Lake View Memorial Hospital, Incorporated | 1010 4th St, Two Harbors, MN 55616-1200 |
| Shawn P Mcmahon | Family Medicine | Lake View Memorial Hospital, Incorporated | 1010 4th St, Two Harbors, MN 55616-1200 |
| Laura A Hase | Family Medicine | Lake View Memorial Hospital, Incorporated | 1010 4th St, Two Harbors, MN 55616-1200 |
| John W Pepelnjak Iii | Chiropractic | 408 17th Ave, Two Harbors, MN 55616-1250 | |
| Cory S Thomas | Chiropractic | 408 17th Ave, Two Harbors, MN 55616-1250 | |
| Find all physicians in zip 55616 | |||
| City | TWO HARBORS |
| Zip Code | 55616 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | TWO HARBORS + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.