Miss Kilynn Lois Hainline, LCSW | |
850 East Young St, Pocatello, ID 83201-5736 | |
(208) 223-8780 | |
(208) 242-3892 |
Full Name | Miss Kilynn Lois Hainline |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 850 East Young St, Pocatello, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073162491 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-42705 (Idaho) | Primary |
Entity Name | Bella-nacole Mental Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215432539 PECOS PAC ID: 4183972094 Enrollment ID: O20180809004360 |
Mailing Address | Practice Location Address |
---|---|
Miss Kilynn Lois Hainline, LCSW 850 East Young St, Pocatello, ID 83201-5736 Ph: (208) 223-8780 | Miss Kilynn Lois Hainline, LCSW 850 East Young St, Pocatello, ID 83201-5736 Ph: (208) 223-8780 |
Jennifer Marie Miles, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1368 El Rancho Blvd, Pocatello, ID 83201 Phone: 208-339-6565 | |
Deanna Sue Smith, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 214 E Center, Ste 40, Pocatello, ID 83201 Phone: 208-545-7966 Fax: 208-241-6215 | |
Mr. Trevor J. Crapo, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2055 Garrett Way Ste 1, Pocatello, ID 83201 Phone: 208-233-7832 Fax: 208-232-7835 | |
Dian Shawver, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1023 Yellowstone Ave, Ste J, Pocatello, ID 83201 Phone: 208-478-9551 Fax: 208-478-1507 | |
Anne Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 421 Memorial Dr, Pocatello, ID 83201 Phone: 208-234-7900 Fax: 208-236-6328 | |
Chanelle Renee Foltz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 459 S Arthur Ave, Pocatello, ID 83204 Phone: 208-232-8840 |