Mrs Dustina Becker, LCSW | |
801 Pole Line Rd W, Twin Falls, ID 83301-5810 | |
(208) 814-5802 | |
Not Available |
Full Name | Mrs Dustina Becker |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 801 Pole Line Rd W, Twin Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518477298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-34206 (Idaho) | Primary |
Entity Name | Tidwell Social Work Services And Consulting Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760891063 PECOS PAC ID: 2163643511 Enrollment ID: O20141028001480 |
Mailing Address | Practice Location Address |
---|---|
Mrs Dustina Becker, LCSW 2720 Sun Meadow Dr, Twin Falls, ID 83301-8968 Ph: (208) 320-1992 | Mrs Dustina Becker, LCSW 801 Pole Line Rd W, Twin Falls, ID 83301-5810 Ph: (208) 814-5802 |
Taylor Moyle, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 493 Eastland Dr, Twin Falls, ID 83301 Phone: 208-410-4866 | |
Amy Allison Walker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 451 Eastland Dr, Twin Falls, ID 83301 Phone: 208-258-7681 | |
Ms. Amanda Breaux Gray, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1940 Laura Cir, Twin Falls, ID 83301 Phone: 208-539-4900 | |
Dr. Richard Brian Keene, PHD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 222 Shoshone St E, Twin Falls, ID 83301 Phone: 208-370-8288 | |
Garrett J Sasse, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000 | |
Larry Kirk Hazen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 260 2nd Ave E, Twin Falls, ID 83301 Phone: 208-732-0947 | |
Cynthia Lynn Opdycke, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 647 Filer Ave, Twin Falls, ID 83301 Phone: 208-737-9999 Fax: 208-736-4400 |