Douglas Phillip Salada, LCSW | |
317 W 6th St Ste 208, Moscow, ID 83843-2387 | |
(208) 882-3504 | |
(877) 935-2107 |
Full Name | Douglas Phillip Salada |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 26 Years |
Location | 317 W 6th St Ste 208, Moscow, 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 |
---|---|---|---|
1386919124 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-24829 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Scott Community Care, Pllc | 2567701618 | 8 |
Entity Name | Scott Community Care, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356644769 PECOS PAC ID: 2567701618 Enrollment ID: O20190306003704 |
Mailing Address | Practice Location Address |
---|---|
Douglas Phillip Salada, LCSW 530 N Moore St, Moscow, ID 83843-3254 Ph: (208) 882-3504 | Douglas Phillip Salada, LCSW 317 W 6th St Ste 208, Moscow, ID 83843-2387 Ph: (208) 882-3504 |
Jenny Lynn Kendall, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 906a N Almon St, Moscow, ID 83843 Phone: 208-669-3124 | |
Veronica Rose Mundell, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 317 W 6th St Ste 208, Moscow, ID 83843 Phone: 208-882-3504 Fax: 877-935-2107 | |
Ms. Kristine Annette Lopez, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 111 N Washington St Ste 13, Moscow, ID 83843 Phone: 208-596-4129 | |
Heather L Shannon, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 803 S Main St Ste 120, Moscow, ID 83843 Phone: 208-848-8300 | |
Judith E. Sobeloff, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 W 3rd St, Moscow, ID 83843 Phone: 208-882-2566 | |
Mrs. Jennifer Cervantes Shuffield, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2606 Granville St, Moscow, ID 83843 Phone: 208-874-2409 |