Jamie Poulsen, LMSW | |
550 Polk St Ste A, Twin Falls, ID 83301-3916 | |
(208) 814-9100 | |
Not Available |
Full Name | Jamie Poulsen |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 550 Polk St Ste A, Twin Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235798356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-42653 (Idaho) | Primary |
Entity Name | St Lukes Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
Mailing Address | Practice Location Address |
---|---|
Jamie Poulsen, LMSW 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Jamie Poulsen, LMSW 550 Polk St Ste A, Twin Falls, ID 83301-3916 Ph: (208) 814-9100 |
Taylor Moyle, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 493 Eastland Dr, Twin Falls, ID 83301 Phone: 208-410-4866 | |
Amy Allison Walker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 451 Eastland Dr, Twin Falls, ID 83301 Phone: 208-258-7681 | |
Ms. Amanda Breaux Gray, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1940 Laura Cir, Twin Falls, ID 83301 Phone: 208-539-4900 | |
Dr. Richard Brian Keene, PHD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 222 Shoshone St E, Twin Falls, ID 83301 Phone: 208-370-8288 | |
Garrett J Sasse, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000 | |
Larry Kirk Hazen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 260 2nd Ave E, Twin Falls, ID 83301 Phone: 208-732-0947 | |
Cynthia Lynn Opdycke, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 647 Filer Ave, Twin Falls, ID 83301 Phone: 208-737-9999 Fax: 208-736-4400 |