Susan M Martinelli, LCSW | |
2814s Indiana Ave, Caldwell, ID 83605-5925 | |
(208) 459-0808 | |
Not Available |
Full Name | Susan M Martinelli |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2814s Indiana Ave, Caldwell, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366629388 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-33804 (Idaho) | Primary |
Entity Name | Pathways Of Idaho, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326466988 PECOS PAC ID: 4789808759 Enrollment ID: O20140612001789 |
Mailing Address | Practice Location Address |
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Susan M Martinelli, LCSW 4860 Robb St 201, Wheat Ridge, CO 80033-2162 Ph: (888) 948-6789 | Susan M Martinelli, LCSW 2814s Indiana Ave, Caldwell, ID 83605-5925 Ph: (208) 459-0808 |
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 |