Mrs Kathleen S Tomazin, LCPC is a
Social Worker based in Blackfoot, Idaho. Mrs Kathleen S Tomazin is licensed to practice in Idaho (license number LSW 1810) and her current practice location is
90 W Judicial St, Blackfoot, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 782-2060.
NPI number for Mrs Kathleen S Tomazin is 1194942185 and her current mailing address is 90 W Judicial St, Blackfoot, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194942185.
Healthcare Provider's Profile
| Full Name | Mrs Kathleen S Tomazin |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 90 W Judicial St, Blackfoot, Idaho |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1194942185
- Provider Enumeration Date: 04/19/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Mrs Kathleen S Tomazin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194942185 | NPI | - | NPPES |
| 80662262 | Medicaid | ID | |
| 8059327 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | LCPC 332 (Idaho) | Primary |
| 104100000X | Social Worker | LSW 1810 (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. Mrs Kathleen S Tomazin 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 |
|---|
Mrs Kathleen S Tomazin, LCPC
90 W Judicial St,
Blackfoot, ID 83221-2715
Ph: (208) 782-2060 | Mrs Kathleen S Tomazin, LCPC
90 W Judicial St,
Blackfoot, ID 83221-2715
Ph: (208) 782-2060 |
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