Dan Tadlock, LCSW | |
6883 Fresno St, Bonners Ferry, ID 83805-8556 | |
(208) 946-7005 | |
Not Available |
Full Name | Dan Tadlock |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 6883 Fresno St, Bonners Ferry, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124397476 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-29379 (Idaho) | Primary |
Entity Name | Kootenai Tribe Of Idaho |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669594057 PECOS PAC ID: 7315184926 Enrollment ID: O20130517000477 |
Mailing Address | Practice Location Address |
---|---|
Dan Tadlock, LCSW 6883 Fresno St, Bonners Ferry, ID 83805-8556 Ph: (208) 946-7005 | Dan Tadlock, LCSW 6883 Fresno St, Bonners Ferry, ID 83805-8556 Ph: (208) 946-7005 |
Kimberly Ruth Carey, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6451 Mccall St Ste D, Bonners Ferry, ID 83805 Phone: 208-520-7155 | |
Gina M. Beck, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6451 Mccall St Ste D, Bonners Ferry, ID 83805 Phone: 208-304-2657 Fax: 208-215-2473 | |
Robert Rossi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Kaniksu Health Services, 6615 Comanche St, Bonners Ferry, ID 83805 Phone: 612-343-4215 | |
Jeanne B Racer, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 147 Emerson Ln, Bonners Ferry, ID 83805 Phone: 208-267-7522 | |
Rachel Meiland-webster, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 3068, Room 200, Bonners Ferry, ID 83805 Phone: 208-267-8182 | |
Susan F. Falck, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7583 N. Main Street Hwy 95, Bonners Ferry, ID 83805 Phone: 208-267-1801 Fax: 208-267-9020 |