Mallory Cotten, LCSW | |
725 Pole Line Rd W, Twin Falls, ID 83301-5860 | |
(208) 814-1608 | |
Not Available |
Full Name | Mallory Cotten |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 725 Pole Line Rd W, 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 |
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1578073243 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-39629 (Idaho) | Primary |
Entity Name | St Lukes Clinic-treasure Valley Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
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Mallory Cotten, LCSW 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Mallory Cotten, LCSW 725 Pole Line Rd W, Twin Falls, ID 83301-5860 Ph: (208) 814-1608 |
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 | |
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 | |
Danielle Human, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1373 Fillmore St, Twin Falls, ID 83301 Phone: 208-737-9999 |