Kristy Diane Goodson, | |
1675 Curlew Dr, Ammon, ID 83406-4718 | |
(208) 523-5319 | |
Not Available |
Full Name | Kristy Diane Goodson |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 11 Years |
Location | 1675 Curlew Dr, Ammon, Idaho |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194156216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-38393 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
4 Pillars Of Success Llc | 4688027188 | 10 |
Entity Name | Badger Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619134277 PECOS PAC ID: 3173794187 Enrollment ID: O20110923000401 |
Entity Name | 4 Pillars Of Success Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619134277 PECOS PAC ID: 4688027188 Enrollment ID: O20240131004474 |
Mailing Address | Practice Location Address |
---|---|
Kristy Diane Goodson, Po Box 2106, Idaho Falls, ID 83403-2106 Ph: (208) 523-5319 | Kristy Diane Goodson, 1675 Curlew Dr, Ammon, ID 83406-4718 Ph: (208) 523-5319 |
Ms. Marcia D Roberts, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1675 Curlew Dr, Ammon, ID 83406 Phone: 208-529-8832 | |
Paul Bryan Wurtsmith, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3754 Briar Creek Ln, Ammon, ID 83406 Phone: 360-831-7425 | |
Stephanie Shirley, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3315 E. Chasewood Drive, Ammon, ID 83406 Phone: 208-269-6606 | |
Zachary Brooks, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1675 Curlew Dr, Ammon, ID 83406 Phone: 208-523-5319 | |
Katrina D Forsmann, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2705 E 17th St, Ammon, ID 83406 Phone: 208-346-7500 Fax: 208-364-7501 | |
Eric M Schaat, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3522 Briar Creek Ln, Ammon, ID 83406 Phone: 208-529-1660 Fax: 208-529-1699 |