Mr Trevor J Crapo, LCSW | |
2055 Garrett Way Ste 1, Pocatello, ID 83201-5155 | |
(208) 233-7832 | |
(208) 232-7835 |
Full Name | Mr Trevor J Crapo |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 20 Years |
Location | 2055 Garrett Way Ste 1, Pocatello, 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 |
---|---|---|---|
1114082260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-29116 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic Llc | 1052217478 | 274 |
Entity Name | St Lukes Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
Mailing Address | Practice Location Address |
---|---|
Mr Trevor J Crapo, LCSW 2975 Clearwater St, Pocatello, ID 83201-7900 Ph: (208) 757-8434 | Mr Trevor J Crapo, LCSW 2055 Garrett Way Ste 1, Pocatello, ID 83201-5155 Ph: (208) 233-7832 |
Miss Kilynn Lois Hainline, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 850 East Young St, Pocatello, ID 83201 Phone: 208-223-8780 Fax: 208-242-3892 | |
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 | |
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 |