Stephen Annest, LCSW-40176 | |
315 E Elm St Ste 201, Caldwell, ID 83605-4857 | |
(208) 514-2528 | |
(208) 375-2217 |
Full Name | Stephen Annest |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 9 Years |
Location | 315 E Elm St Ste 201, Caldwell, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497295620 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LMSW-36483 (Idaho) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW-40176 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Full Circle Health Inc | 6709986797 | 92 |
Entity Name | Full Circle Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841490075 PECOS PAC ID: 6709986797 Enrollment ID: O20070924000618 |
Mailing Address | Practice Location Address |
---|---|
Stephen Annest, LCSW-40176 777 N Raymond St, Boise, ID 83704-9251 Ph: (208) 514-2500 | Stephen Annest, LCSW-40176 315 E Elm St Ste 201, Caldwell, ID 83605-4857 Ph: (208) 514-2528 |
Mary Kay Gordon-brunner, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 314 Badiola St, Caldwell, ID 83605 Phone: 702-589-4871 | |
Mrs. Kristina Marie Pugh, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13802 Quintessa St, Caldwell, ID 83607 Phone: 801-599-7123 | |
Tara Byrne, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3402 Franklin Rd, Caldwell, ID 83605 Phone: 208-608-8839 | |
Mrs. Amanda Kay Goldston, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3402 Franklin Rd, Caldwell, ID 83605 Phone: 208-455-7045 Fax: 208-454-7714 | |
Judy Ann Hudson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23057 Old Highway 30, Caldwell, ID 83607 Phone: 208-860-2345 Fax: 208-459-6921 | |
Ms. Asha Sharp, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3402 Franklin Rd, Caldwell, ID 83605 Phone: 208-455-7033 Fax: 208-454-7714 | |
Jason Johnson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2609 S 10th Ave Ste 102, Caldwell, ID 83605 Phone: 208-454-2766 |