| Gina Bosco, LCSW | |
|
2300 Overland Ave, Burley, ID 83318-2932 | |
| (208) 732-8565 | |
| (208) 732-8566 |
| Full Name | Gina Bosco |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2300 Overland Ave, Burley, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104802230 | NPI | - | NPPES |
| 00001001764 | Other | ID | BLUESHIELD OF ID |
| L5550 | Other | ID | BLUECROSS OF ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW1034 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Bosco, LCSW Po Box 462, Burley, ID 83318-0462 Ph: (208) 670-3900 | Gina Bosco, LCSW 2300 Overland Ave, Burley, ID 83318-2932 Ph: (208) 732-8565 |
Jordan K. Robins, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1309 Bennett Ave, Burley, ID 83318 Phone: 208-678-0101 Fax: 208-678-0303 | |
Mr. Mathew G Bowden, CSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1309 Bennett Ave, Burley, ID 83318 Phone: 208-678-0101 | |
Tamara Wilkinson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1320 Bennett Ave # B, Burley, ID 83318 Phone: 208-678-0101 Fax: 208-678-0303 |