Mrs Mary Jane Conder, LCSW | |
518 Linden Dr, Lewiston, ID 83501-4432 | |
(208) 746-4025 | |
Not Available |
Full Name | Mrs Mary Jane Conder |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 518 Linden Dr, Lewiston, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841525474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW28430 (Idaho) | Primary |
Entity Name | Deer Oaks Mental Health Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134175763 PECOS PAC ID: 2264337013 Enrollment ID: O20130108000237 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mary Jane Conder, LCSW 518 Linden Dr, Lewiston, ID 83501-4432 Ph: (208) 746-4025 | Mrs Mary Jane Conder, LCSW 518 Linden Dr, Lewiston, ID 83501-4432 Ph: (208) 746-4025 |
Ms. Darci M. Graves, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-799-6500 | |
Dr. Heath B Walters, PH.D. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 504 Main St Ste 470, Lewiston, ID 83501 Phone: 208-413-6711 | |
Rebecca Ann Bohnenkamp, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 609 Bryden Ave Ste B, Lewiston, ID 83501 Phone: 208-413-6570 Fax: 208-413-9976 | |
Summer Overberg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 908 Idaho St, Lewiston, ID 83501 Phone: 208-799-5030 | |
Sheri Katherine Horan, MSW, LCSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1630 23rd Ave Bldg 2, Lewiston, ID 83501 Phone: 208-746-7784 Fax: 208-798-8652 | |
Brandon Mcintosh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 609 Bryden Ave Ste B, Lewiston, ID 83501 Phone: 208-413-9973 | |
Tamara Cronk-wilson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 Fax: 208-743-7421 |