MEDICARE: CLAUDIA A. LILJEGREN MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	945	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	298S1LI	OTHER	MN	BLUE SHIELD OF MN
2	HP27093	OTHER	FM	HEALTHPARTNERS
3	126408	OTHER	MN	UCARE MINNESOTA
4	1012380	OTHER	MN	PREFERREDONE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	62-71307	OTHER	MN	UNITED BEHAVIORAL HEALTH

General Provider Information

NPI Number	:	1427098458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA A. LILJEGREN MSW

Provider Business Mailing Address
First Line	:	ST. WILLIAMS MENTAL HEALTH SERVICES
Second Line	:	212 WEST SOO STREET
City	:	PARKERS PRAIRIE
State	:	MN
Zip	:	56361-4699
Country	:	US
Telephone Number	:	218-338-5945
Fax Number	:

Provider Business Practice Location Address
First Line	:	ST. WILLIAMS MENTAL HEALTH SERVICES
Second Line	:	212 WEST SOO STREET
City	:	PARKERS PRAIRIE
State	:	MN
Zip	:	56361-5636
Country	:	US
Telephone Number	:	320-766-6341
Fax Number	:	218-206-9385

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	11/08/2018

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