Shelly D Sanders, LCSW | |
1620 Northwest Blvd Ste 101, Coeur D Alene, ID 83814-2488 | |
(208) 512-5085 | |
(800) 865-1927 |
Full Name | Shelly D Sanders |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 8 Years |
Location | 1620 Northwest Blvd Ste 101, Coeur D Alene, Idaho |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396274056 | NPI | - | NPPES |
36775 | Other | ID | LICENSE |
39692 | Other | ID | LCSW LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 39692 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Conceptual Counseling Llc | 2860822996 | 2 |
Entity Name | Conceptual Counseling Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245882828 PECOS PAC ID: 2860822996 Enrollment ID: O20200414000195 |
Mailing Address | Practice Location Address |
---|---|
Shelly D Sanders, LCSW 1620 Northwest Blvd Ste 101, Coeur D Alene, ID 83814-2488 Ph: (208) 512-5085 | Shelly D Sanders, LCSW 1620 Northwest Blvd Ste 101, Coeur D Alene, ID 83814-2488 Ph: (208) 512-5085 |
Donna Colberg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6050 E Kingswood Ln, Coeur D Alene, ID 83814 Phone: 208-651-3948 | |
Deemarla Tavares, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2201 Ironwood Pl, Coeur D Alene, ID 83814 Phone: 208-769-4222 Fax: 208-667-7557 | |
Mr. Jud Eugene Leifheit, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1110 W Park Pl Ste 305, Coeur D Alene, ID 83814 Phone: 208-667-6606 Fax: 208-765-3051 | |
Wayne Bingham Timonen, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7905 N Meadowlark Way, Suite C, Coeur D Alene, ID 83815 Phone: 208-762-3979 Fax: 208-762-4419 | |
Robert K Wyatt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 950 W Ironwood Dr, Suite #2, Coeur D Alene, ID 83814 Phone: 208-664-1594 Fax: 208-664-5867 | |
Laurie D Regan, LCSW 688 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-666-2000 Fax: 208-666-3963 | |
Susan Helen Hennige, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2005 N Ironwood Pkwy Ste 113, Coeur D Alene, ID 83814 Phone: 208-758-8302 Fax: 208-758-0850 |