Sadie Green, | |
207 Larkspur St, Ponderay, ID 83852-5011 | |
(208) 255-3334 | |
Not Available |
Full Name | Sadie Green |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 207 Larkspur St, Ponderay, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114388105 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-35936 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Sadie Green, 514 N Sixth Ave, Sandpoint, ID 83864-1525 Ph: (304) 209-0700 | Sadie Green, 207 Larkspur St, Ponderay, ID 83852-5011 Ph: (208) 255-3334 |
Anna Louise Lawrence, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 207 Larkspur St, Ponderay, ID 83852 Phone: 208-255-3314 Fax: 208-263-4198 | |
Jordan Lande, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 27 Lavender Ln, Ponderay, ID 83852 Phone: 406-465-2465 |