Mr David A Keene, LCSW | |
803 S Main St Ste 120, Moscow, ID 83843-2695 | |
(208) 848-8300 | |
(208) 882-5587 |
Full Name | Mr David A Keene |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 803 S Main St Ste 120, Moscow, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912162140 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-736 (Idaho) | Primary |
Entity Name | Community Health Association Of Spokane |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235372707 PECOS PAC ID: 9638063217 Enrollment ID: O20090723000312 |
Mailing Address | Practice Location Address |
---|---|
Mr David A Keene, LCSW 203 N Washington St Ste 300, Spokane, WA 99201-0254 Ph: (509) 444-8888 | Mr David A Keene, LCSW 803 S Main St Ste 120, Moscow, ID 83843-2695 Ph: (208) 848-8300 |
Jenny Lynn Kendall, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 906a N Almon St, Moscow, ID 83843 Phone: 208-669-3124 | |
Veronica Rose Mundell, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 317 W 6th St Ste 208, Moscow, ID 83843 Phone: 208-882-3504 Fax: 877-935-2107 | |
Douglas Phillip Salada, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 317 W 6th St Ste 208, Moscow, ID 83843 Phone: 208-882-3504 Fax: 877-935-2107 | |
Ms. Kristine Annette Lopez, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 111 N Washington St Ste 13, Moscow, ID 83843 Phone: 208-596-4129 | |
Heather L Shannon, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 803 S Main St Ste 120, Moscow, ID 83843 Phone: 208-848-8300 | |
Judith E. Sobeloff, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 W 3rd St, Moscow, ID 83843 Phone: 208-882-2566 | |
Mrs. Jennifer Cervantes Shuffield, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2606 Granville St, Moscow, ID 83843 Phone: 208-874-2409 |