| Sheryl R Ford, LCSW, ACH | |
|
3225 W Bavaria St Ste 123, Eagle, ID 83616-5547 | |
| (208) 350-1576 | |
| Not Available |
| Full Name | Sheryl R Ford |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 3225 W Bavaria St Ste 123, Eagle, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366979486 | NPI | - | NPPES |
| LCSW-31214 | Other | ID | STATE LICENSE |
| 6409 | Other | OR | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6409 (Oregon) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-31214 (Idaho) | Primary |
| Entity Name | Merritt Health And Wellness, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437403623 PECOS PAC ID: 1052565777 Enrollment ID: O20130205000514 |
| Mailing Address | Practice Location Address |
|---|---|
| Sheryl R Ford, LCSW, ACH 808 E Cholla Hills St, Meridian, ID 83646-5679 Ph: (208) 350-1576 | Sheryl R Ford, LCSW, ACH 3225 W Bavaria St Ste 123, Eagle, ID 83616-5547 Ph: (208) 350-1576 |
Ms. Julie Ann Austin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 961 E Thunderbird Ct, Eagle, ID 83616 Phone: 208-919-0988 | |
Federica Lanza, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1243 E Iron Eagle Dr Ste 130d, Eagle, ID 83616 Phone: 208-684-2585 Fax: 208-547-6835 | |
Malisa Williams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1281 E Iron Eagle Dr, Eagle, ID 83616 Phone: 208-912-4011 | |
Ms. Jyl E Adams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 596 W Oakhampton Dr, Eagle, ID 83616 Phone: 208-321-4166 Fax: 208-321-4167 | |
Alan Glen Neighbors, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1025 S Bridgeway Pl Ste 280, Eagle, ID 83616 Phone: 208-412-7740 Fax: 208-853-1318 | |
William Blair, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1032 S Bridge Way Pl, Suite 100, Eagle, ID 83616 Phone: 208-246-0123 Fax: 208-246-0125 |