Leif Holbrook Sorensen, LCSW | |
335 E Main St, Saint Anthony, ID 83445-1546 | |
(208) 356-4900 | |
(208) 624-4030 |
Full Name | Leif Holbrook Sorensen |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 21 Years |
Location | 335 E Main St, Saint Anthony, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992903561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-27666 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Upper Valley Community Health Services Inc | 4385725282 | 17 |
Entity Name | Upper Valley Community Health Services Inc |
---|---|
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 |
---|---|
Leif Holbrook Sorensen, LCSW Po Box 18, Saint Anthony, ID 83445-0018 Ph: (208) 356-4900 | Leif Holbrook Sorensen, 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 | |
Erin Michelle Pullman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 335 E Main St, Saint Anthony, ID 83445 Phone: 208-356-4900 Fax: 208-624-4030 | |
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 |