Deanna M Johannsen, LCSW | |
131 N Allumbaugh St, Boise, ID 83704-9204 | |
(208) 367-2175 | |
(208) 376-0285 |
Full Name | Deanna M Johannsen |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 29 Years |
Location | 131 N Allumbaugh St, Boise, 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 |
---|---|---|---|
1841524550 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-1093 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Nampa Medical Center | Nampa, ID | Hospital |
St Luke's Regional Medical Center | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic-treasure Valley Llc | 4981878402 | 991 |
Entity Name | Saint Alphonsus Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
Entity Name | St Lukes Clinic-treasure Valley Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
---|---|
Deanna M Johannsen, LCSW 3340 E Goldstone Way, Meridian, ID 83642-1026 Ph: (208) 367-5170 | Deanna M Johannsen, LCSW 131 N Allumbaugh St, Boise, ID 83704-9204 Ph: (208) 367-2175 |
Mr. Johnny Josiah Meehan, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6855 W Fairview Ave, Boise, ID 83704 Phone: 208-323-9600 Fax: 208-323-9606 | |
Kristie Kaes, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2121 Fax: 208-367-7305 | |
John Bradford Hunt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 202 N 9th St Ste 201c, Boise, ID 83702 Phone: 208-549-9597 | |
Dr. Paula K Barrett, PSYD, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 444 W Fort St Fl 2, Boise, ID 83702 Phone: 208-422-1018 | |
Rachel Jessen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5985 W State St, Boise, ID 83703 Phone: 208-853-0071 Fax: 208-853-9422 | |
Mr. Tom C Ahlrichs, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-367-6044 Fax: 208-375-8817 | |
Mrs. Amy Niblock Balzer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1720 N Westgate Dr, Suite A-1, Boise, ID 83704 Phone: 208-334-0874 Fax: 208-334-0812 |