Mrs Debra Kellerman, LCSW is a
Social Worker - Clinical based in Hope, Idaho. Mrs Debra Kellerman is licensed to practice in Idaho (license number LCSW-24886) and her current practice location is
140 Alpine Lane, Hope, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 264-5700.
NPI number for Mrs Debra Kellerman is 1134544968 and her current mailing address is Po Box 175, Hope, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134544968.
Healthcare Provider's Profile
| Full Name | Mrs Debra Kellerman |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 140 Alpine Lane, Hope, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1134544968
- Provider Enumeration Date: 03/04/2014
- Last Update Date: 03/04/2014
Medical Identifiers
Medical identifiers for Mrs Debra Kellerman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134544968 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | LCSW-24886 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Debra Kellerman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Debra Kellerman, LCSW
Po Box 175,
Hope, ID 83836-0175
Ph: (208) 264-5700 | Mrs Debra Kellerman, LCSW
140 Alpine Lane,
Hope, ID 83836-0175
Ph: (208) 264-5700 |
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