Mrs Jennifer Marie Mayberry, LMSW is a
Social Worker - Clinical based in Coeur D'alene, Idaho. Mrs Jennifer Marie Mayberry is licensed to practice in Idaho (license number LMSW-43675) and her current practice location is
1875 N. Lakewood Drive, Suite 101, Coeur D'alene, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 771-7284.
NPI number for Mrs Jennifer Marie Mayberry is 1134994858 and her current mailing address is P.o. Box 1103, Rathdrum, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134994858.
Healthcare Provider's Profile
| Full Name | Mrs Jennifer Marie Mayberry |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1875 N. Lakewood Drive, Coeur D'alene, 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: 1134994858
- Provider Enumeration Date: 11/22/2023
- Last Update Date: 11/22/2023
Medical Identifiers
Medical identifiers for Mrs Jennifer Marie Mayberry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134994858 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | LMSW-43675 (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 Jennifer Marie Mayberry 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 Jennifer Marie Mayberry, LMSW
P.o. Box 1103,
Rathdrum, ID 83858
Ph: (208) 659-2049 | Mrs Jennifer Marie Mayberry, LMSW
1875 N. Lakewood Drive, Suite 101,
Coeur D'alene, ID 83814
Ph: (208) 771-7284 |
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