Alex Suarez, LCSW | |
85 S Main St, Driggs, ID 83422-9700 | |
(208) 354-3005 | |
Not Available |
Full Name | Alex Suarez |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 85 S Main St, Driggs, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083807630 | NPI | - | NPPES |
LCSW-30716 | Other | ID | STATE LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-30716 (Idaho) | Primary |
Entity Name | Midtown Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548267420 PECOS PAC ID: 0345135414 Enrollment ID: O20040218000005 |
Mailing Address | Practice Location Address |
---|---|
Alex Suarez, LCSW 85 S Main St, Driggs, ID 83422-9700 Ph: (208) 354-3005 | Alex Suarez, LCSW 85 S Main St, Driggs, ID 83422-9700 Ph: (208) 354-3005 |
Christina Ella Emde Riley, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 158 N Orth First East Street, Driggs, ID 83422 Phone: 307-730-7060 Fax: 208-787-5683 | |
Terrell L. Kelly, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 E Howard St, Driggs, ID 83422 Phone: 208-354-6317 | |
Jeff Roelke, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 89 N Main St, Driggs, ID 83422 Phone: 208-201-7049 | |
Louis J Parri, CSWP Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 50 Ski Hill Rd, Driggs, ID 83422 Phone: 208-354-3128 Fax: 208-354-3128 |