Mrs Becky Jean Wolery, LCSW | |
910 Nw 16th St Ste 101, Fruitland, ID 83619 | |
(208) 452-8000 | |
(208) 452-8055 |
Full Name | Mrs Becky Jean Wolery |
---|---|
Gender | Female |
Speciality | Social Worker |
Location | 910 Nw 16th St Ste 101, Fruitland, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154563948 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-30777 (Idaho) | Secondary |
104100000X | Social Worker | LMSW-28988 (Idaho) | Primary |
Entity Name | Saint Alphonsus Medical Center- Ontario Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093034159 PECOS PAC ID: 1456488899 Enrollment ID: O20120229000024 |
Mailing Address | Practice Location Address |
---|---|
Mrs Becky Jean Wolery, LCSW 3340 E. Goldstone Dr., Meridian, ID 83642 Ph: (208) 452-8000 | Mrs Becky Jean Wolery, LCSW 910 Nw 16th St Ste 101, Fruitland, ID 83619 Ph: (208) 452-8000 |
Mr. Jesse Ray Cobb, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1210 Nw 16th St, Fruitland, ID 83619 Phone: 208-452-8600 | |
Amy Beitia, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 320 Magnolia Ave, Fruitland, ID 83619 Phone: 208-250-7059 | |
Ms. Lisa Marie Tovar, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1210 Nw 16th St, Fruitland, ID 83619 Phone: 208-452-8700 Fax: 208-452-8701 | |
Cami Lynn Blackburn, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1118 Nw 16th St Ste D, Fruitland, ID 83619 Phone: 208-452-7677 | |
Mrs. Frankie Diane Larsen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7665 Custer Rd, Fruitland, ID 83619 Phone: 208-271-9362 Fax: 208-271-9262 |