Corry Smith, | |
85 S Middleton Rd, Nampa, ID 83651-1526 | |
(208) 505-2800 | |
(208) 505-2801 |
Full Name | Corry Smith |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 7 Years |
Location | 85 S Middleton Rd, Nampa, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972010882 | NPI | - | NPPES |
1041C0700X | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-45159 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wasatch Behavioral Health Special Service District | 2567367915 | 73 |
Entity Name | Wasatch Behavioral Health Special Service District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356357115 PECOS PAC ID: 2567367915 Enrollment ID: O20031129000014 |
Mailing Address | Practice Location Address |
---|---|
Corry Smith, 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Corry Smith, 85 S Middleton Rd, Nampa, ID 83651-1526 Ph: (208) 505-2800 |
Lyndzee Johnson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 204 10th Ave S, Nampa, ID 83651 Phone: 208-466-2229 | |
Lindsay Nelson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9850 W St Lukes Dr, Nampa, ID 83687 Phone: 208-505-2000 | |
Ashley Hammargren Freeman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 223 16th Ave N, Nampa, ID 83687 Phone: 208-466-7869 Fax: 208-466-5359 | |
Mr. Jeff Ryan Moreno, L.C.S.W. Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 923 16th Ave S, Nampa, ID 83651 Phone: 208-639-1514 Fax: 208-639-2301 | |
Ricardo Ramirez-hernandez, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1007 W Orchard Ave, Nampa, ID 83651 Phone: 208-602-2731 Fax: 208-561-6611 | |
Jodie Keys, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 156 Mcclure Ave, Nampa, ID 83651 Phone: 208-467-7654 Fax: 208-466-5359 | |
Mrs. Julie Ann King, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 207 W Georgia Ave Ste 150, Nampa, ID 83686 Phone: 208-489-5700 Fax: 208-489-4077 |