Tiffany Hayner, LMSW | |
1675 Curlew Dr, Ammon, ID 83406-4850 | |
(208) 523-5319 | |
(208) 523-5319 |
Full Name | Tiffany Hayner |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1675 Curlew Dr, Ammon, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477018323 | NPI | - | NPPES |
1396176582 | Medicaid | ID | |
1619134277 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LMSW-38327 (Idaho) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW-41703 (Idaho) | Primary |
Entity Name | 4 Pillars Of Success Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619134277 PECOS PAC ID: 4688027188 Enrollment ID: O20240131004474 |
Mailing Address | Practice Location Address |
---|---|
Tiffany Hayner, LMSW Po Box 2106, Idaho Falls, ID 83403-2106 Ph: (208) 523-5319 | Tiffany Hayner, LMSW 1675 Curlew Dr, Ammon, ID 83406-4850 Ph: (208) 523-5319 |
Ms. Marcia D Roberts, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1675 Curlew Dr, Ammon, ID 83406 Phone: 208-529-8832 | |
Paul Bryan Wurtsmith, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3754 Briar Creek Ln, Ammon, ID 83406 Phone: 360-831-7425 | |
Stephanie Shirley, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3315 E. Chasewood Drive, Ammon, ID 83406 Phone: 208-269-6606 | |
Kristy Diane Goodson, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1675 Curlew Dr, Ammon, ID 83406 Phone: 208-523-5319 | |
Zachary Brooks, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1675 Curlew Dr, Ammon, ID 83406 Phone: 208-523-5319 | |
Katrina D Forsmann, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2705 E 17th St, Ammon, ID 83406 Phone: 208-346-7500 Fax: 208-364-7501 | |
Ruth Anne Patton, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3317 E Chasewood Dr, Ammon, ID 83406 Phone: 208-538-4040 Fax: 208-538-4140 |