Mr Matthew Sherman Youngberg, LMFT is a
Social Worker - Clinical based in Rexburg, Idaho. Mr Matthew Sherman Youngberg is licensed to practice in Idaho (license number LMFT-3748) and his current practice location is
859 S Yellowstone Hwy #304, Rexburg, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 313-7464.
NPI number for Mr Matthew Sherman Youngberg is 1629287354 and his current mailing address is 859 S Yellowstone Hwy #304, Rexburg, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629287354.
Healthcare Provider's Profile
| Full Name | Mr Matthew Sherman Youngberg |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 859 S Yellowstone Hwy #304, Rexburg, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1629287354
- Provider Enumeration Date: 05/21/2007
- Last Update Date: 05/26/2021
Medical Identifiers
Medical identifiers for Mr Matthew Sherman Youngberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629287354 | NPI | - | NPPES |
| 002648300 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | LFMT-3748 (Idaho) | Secondary |
| 1041C0700X | Social Worker - Clinical | LMFT-3748 (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. Mr Matthew Sherman Youngberg 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 |
|---|
Mr Matthew Sherman Youngberg, LMFT
859 S Yellowstone Hwy #304,
Rexburg, ID 83440-5294
Ph: (208) 313-7464 | Mr Matthew Sherman Youngberg, LMFT
859 S Yellowstone Hwy #304,
Rexburg, ID 83440-5294
Ph: (208) 313-7464 |
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