Angie A Shantie, LCSW | |
1118 F St, Lewiston, ID 83501-1930 | |
(208) 799-4440 | |
(208) 799-5171 |
Full Name | Angie A Shantie |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 18 Years |
Location | 1118 F St, Lewiston, Idaho |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659734143 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-30605 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Palouse River Counseling Center | 5698768331 | 6 |
Entity Name | Palouse River Counseling Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063486272 PECOS PAC ID: 5698768331 Enrollment ID: O20040407000660 |
Mailing Address | Practice Location Address |
---|---|
Angie A Shantie, LCSW 1118 F Street, Lewiston, ID 83501 Ph: (208) 799-4440 | Angie A Shantie, LCSW 1118 F St, Lewiston, ID 83501-1930 Ph: (208) 799-4440 |
Ms. Darci M. Graves, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-799-6500 | |
Dr. Heath B Walters, PH.D. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 504 Main St Ste 470, Lewiston, ID 83501 Phone: 208-413-6711 | |
Rebecca Ann Bohnenkamp, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 609 Bryden Ave Ste B, Lewiston, ID 83501 Phone: 208-413-6570 Fax: 208-413-9976 | |
Summer Overberg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 908 Idaho St, Lewiston, ID 83501 Phone: 208-799-5030 | |
Sheri Katherine Horan, MSW, LCSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1630 23rd Ave Bldg 2, Lewiston, ID 83501 Phone: 208-746-7784 Fax: 208-798-8652 | |
Brandon Mcintosh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 609 Bryden Ave Ste B, Lewiston, ID 83501 Phone: 208-413-9973 | |
Tamara Cronk-wilson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 Fax: 208-743-7421 |