Amy Herzog, LCSW is a
Day Training, Developmentally Disabled Services based in Victor, Idaho. Amy Herzog is licensed to practice in * (Not Available) (license number ) and her current practice location is
175 Brome Dr., #7, Victor, Idaho. She can be reached at her office (for appointments etc.) via phone at
(406) 360-1631.
NPI number for Amy Herzog is 1861534133 and her current mailing address is 175 Brome Dr., 7, Victor, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861534133.
Healthcare Provider's Profile
Full Name | Amy Herzog |
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Gender | Female |
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Speciality | Day Training, Developmentally Disabled Services |
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Location | 175 Brome Dr., Victor, Idaho |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861534133
- Provider Enumeration Date: 02/13/2007
- Last Update Date: 10/14/2009
Medical Identifiers
Medical identifiers for Amy Herzog such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861534133 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (Wyoming) | Secondary |
251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy Herzog is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amy Herzog, LCSW 175 Brome Dr., 7, Victor, ID 83455 Ph: (406) 360-1631 | Amy Herzog, LCSW 175 Brome Dr., #7, Victor, ID 83455 Ph: (406) 360-1631 |
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