Dean Michael Jennings, LCSW | |
264 Black Mountain Rd, Bonners Ferry, ID 83805-5308 | |
(208) 416-3850 | |
Not Available |
Full Name | Dean Michael Jennings |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 264 Black Mountain Rd, 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 |
---|---|---|---|
1831524537 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 41156 (Idaho) | Secondary |
1041C0700X | Social Worker - Clinical | 4611 (Montana) | Primary |
Entity Name | Boundary Regional Community Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538447727 PECOS PAC ID: 2264341221 Enrollment ID: O20050211000195 |
Entity Name | Wild Life Community Counseling Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699413757 PECOS PAC ID: 4981068012 Enrollment ID: O20230907004309 |
Mailing Address | Practice Location Address |
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Dean Michael Jennings, LCSW Po Box 172, Bonners Ferry, ID 83805-0172 Ph: (084) 163-8502 | Dean Michael Jennings, LCSW 264 Black Mountain Rd, Bonners Ferry, ID 83805-5308 Ph: (208) 416-3850 |
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 | |
Dan Tadlock, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6883 Fresno St, Bonners Ferry, ID 83805 Phone: 208-946-7005 | |
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 |