Ivy Shandel Williams, LMSW is a
Social Worker - Clinical based in Boise, Idaho. Ivy Shandel Williams is licensed to practice in Idaho (license number LMSW32402) and her current practice location is
7711 W Riverside Dr, Boise, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 853-8536.
NPI number for Ivy Shandel Williams is 1912250051 and her current mailing address is 7711 W Riverside Dr, Boise, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912250051.
Healthcare Provider's Profile
| Full Name | Ivy Shandel Williams |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 7711 W Riverside Dr, Boise, Idaho |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1912250051
- Provider Enumeration Date: 10/25/2012
- Last Update Date: 06/28/2013
Medical Identifiers
Medical identifiers for Ivy Shandel Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912250051 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | LMSW32402 (Idaho) | Secondary |
| 1041C0700X | Social Worker - Clinical | LMSW32402 (Idaho) | 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. Ivy Shandel Williams 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 |
|---|
Ivy Shandel Williams, LMSW
7711 W Riverside Dr,
Boise, ID 83714-6182
Ph: (208) 853-8536 | Ivy Shandel Williams, LMSW
7711 W Riverside Dr,
Boise, ID 83714-6182
Ph: (208) 853-8536 |
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