Miss Judith Lynn Carroll, | |
2428 N Stokesberry Pl, Meridian, ID 83646-5035 | |
(208) 939-3888 | |
(208) 939-5599 |
Full Name | Miss Judith Lynn Carroll |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 13 Years |
Location | 2428 N Stokesberry Pl, Meridian, 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 |
---|---|---|---|
1265857999 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-33648 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Brc Mental Health Services | 6305106824 | 2 |
Entity Name | Brc Mental Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982126264 PECOS PAC ID: 6305106824 Enrollment ID: O20180403001809 |
Mailing Address | Practice Location Address |
---|---|
Miss Judith Lynn Carroll, 2428 N Stokesberry Pl, Meridian, ID 83646-5035 Ph: (208) 939-3888 | Miss Judith Lynn Carroll, 2428 N Stokesberry Pl, Meridian, ID 83646-5035 Ph: (208) 939-3888 |
Lisa Melendy, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 82 S Baltic Pl, Meridian, ID 83642 Phone: 732-272-8187 | |
Gary W Lee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1965 S Eagle Rd, Ste 140, Meridian, ID 83642 Phone: 208-957-6514 Fax: 208-957-6506 | |
Jennifer Ann La Jeunesse, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 520 S Eagle Rd Ste 2106, Meridian, ID 83642 Phone: 208-706-5775 Fax: 208-706-5777 | |
Lysandra C Scott, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3023 E Copper Point Dr Ste 108, Meridian, ID 83642 Phone: 208-914-8924 | |
Melissa Marquez, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1550 N Crestmont Dr, Meridian, ID 83642 Phone: 208-288-4200 Fax: 208-529-4676 | |
Jennifer Fish, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1533 W Rainbow Trout St, Meridian, ID 83642 Phone: 208-559-7654 | |
Ms. Lesa Marie Breding, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5155 S Hillsdale Ave, Meridian, ID 83642 Phone: 208-706-9710 |