Erin Michelle Pullman, LCSW | |
335 E Main St, Saint Anthony, ID 83445-1546 | |
(208) 356-4900 | |
(208) 624-4030 |
Full Name | Erin Michelle Pullman |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 335 E Main St, Saint Anthony, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326603820 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-41440 (Idaho) | Primary |
Entity Name | Upper Valley Community Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972792489 PECOS PAC ID: 4385725282 Enrollment ID: O20120611000120 |
Mailing Address | Practice Location Address |
---|---|
Erin Michelle Pullman, LCSW Po Box 18, Saint Anthony, ID 83445-0018 Ph: (208) 356-4900 | Erin Michelle Pullman, LCSW 335 E Main St, Saint Anthony, ID 83445-1546 Ph: (208) 356-4900 |
Mindy Jensen, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 335 E Main St, Saint Anthony, ID 83445 Phone: 208-356-4900 Fax: 208-624-4030 | |
Beth Winegar, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 357 N 1587 E, Saint Anthony, ID 83445 Phone: 208-709-0167 | |
Amy Irene Ohs, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 335 E Main St, Saint Anthony, ID 83445 Phone: 208-356-4900 Fax: 208-624-4030 | |
Spencer Emery Webb, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 335 E Main St Ste 3, Saint Anthony, ID 83445 Phone: 208-356-4900 Fax: 208-624-4030 | |
Larry Miles Bradley, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 335 E Main St Ste 1, Saint Anthony, ID 83445 Phone: 208-356-4900 Fax: 208-624-4030 | |
Leif Holbrook Sorensen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 335 E Main St, Saint Anthony, ID 83445 Phone: 208-356-4900 Fax: 208-624-4030 |