Jordan K Robins, LCSW | |
1309 Bennett Ave, Burley, ID 83318-2676 | |
(208) 678-0101 | |
(208) 678-0303 |
Full Name | Jordan K Robins |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1309 Bennett Ave, Burley, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215041793 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-29493 (Idaho) | Primary |
Entity Name | Family Health Services Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033165550 PECOS PAC ID: 7012815038 Enrollment ID: O20040216000531 |
Mailing Address | Practice Location Address |
---|---|
Jordan K Robins, LCSW 794 Eastland Dr, Twin Falls, ID 83301-6856 Ph: (208) 737-6718 | Jordan K Robins, LCSW 1309 Bennett Ave, Burley, ID 83318-2676 Ph: (208) 678-0101 |
Gina Bosco, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2300 Overland Ave, Burley, ID 83318 Phone: 208-732-8565 Fax: 208-732-8566 | |
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 |