Mrs Deanna Mae Mullins, LCSW | |
1170 E Sharons Way Apt 104, Nampa, ID 83686-6059 | |
(207) 409-4758 | |
Not Available |
Full Name | Mrs Deanna Mae Mullins |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1170 E Sharons Way Apt 104, Nampa, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902203755 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LC14843 (Maine) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW-35099 (Idaho) | Primary |
Entity Name | Saint Alphonsus Medical Center Nampa Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659371870 PECOS PAC ID: 7113821026 Enrollment ID: O20031121000788 |
Mailing Address | Practice Location Address |
---|---|
Mrs Deanna Mae Mullins, LCSW 1170 E Sharons Way Apt 104, Nampa, ID 83686-6059 Ph: (207) 409-4758 | Mrs Deanna Mae Mullins, LCSW 1170 E Sharons Way Apt 104, Nampa, ID 83686-6059 Ph: (207) 409-4758 |
Lyndzee Johnson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 204 10th Ave S, Nampa, ID 83651 Phone: 208-466-2229 | |
Lindsay Nelson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9850 W St Lukes Dr, Nampa, ID 83687 Phone: 208-505-2000 | |
Ashley Hammargren Freeman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 223 16th Ave N, Nampa, ID 83687 Phone: 208-466-7869 Fax: 208-466-5359 | |
Mr. Jeff Ryan Moreno, L.C.S.W. Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 923 16th Ave S, Nampa, ID 83651 Phone: 208-639-1514 Fax: 208-639-2301 | |
Ricardo Ramirez-hernandez, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1007 W Orchard Ave, Nampa, ID 83651 Phone: 208-602-2731 Fax: 208-561-6611 | |
Jodie Keys, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 156 Mcclure Ave, Nampa, ID 83651 Phone: 208-467-7654 Fax: 208-466-5359 | |
Mrs. Julie Ann King, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 207 W Georgia Ave Ste 150, Nampa, ID 83686 Phone: 208-489-5700 Fax: 208-489-4077 |