Trevor James Nelson, LCSW | |
33 Madison Professional Park, Rexburg, ID 83440-2057 | |
(208) 243-9304 | |
(208) 656-5668 |
Full Name | Trevor James Nelson |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 33 Madison Professional Park, Rexburg, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174971014 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LMSW-35746 (Idaho) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW-38193 (Idaho) | Primary |
Entity Name | Cress Creek Counseling Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376251835 PECOS PAC ID: 8224476585 Enrollment ID: O20240404003823 |
Mailing Address | Practice Location Address |
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Trevor James Nelson, LCSW 33 Madison Professional Park, Rexburg, ID 83440-2057 Ph: (208) 243-9304 | Trevor James Nelson, LCSW 33 Madison Professional Park, Rexburg, ID 83440-2057 Ph: (208) 243-9304 |
Ms. Janell Clement, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 218 Dividend Dr, Rexburg, ID 83440 Phone: 208-359-9683 | |
Rhet Dalling, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 72 S 1st E, Rexburg, ID 83440 Phone: 208-356-4900 Fax: 208-624-4030 | |
Eric Scott Fernelius, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 339 E 7th N, Rexburg, ID 83440 Phone: 801-510-4750 | |
Danielle Nicole Peterson, LMSW-41574 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 E Main St Ste 210, Rexburg, ID 83440 Phone: 208-357-3104 | |
Mrs. Erica Lynne Finney, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 404 N 2nd E, Rexburg, ID 83440 Phone: 208-359-1770 Fax: 208-359-1780 | |
Phillip Hathaway, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 253 S 2nd E Bsmt, Rexburg, ID 83440 Phone: 253-232-3957 |