| Lemhi Valley Social Services, Inc. | |
|
1211 Main St Suite 2 Salmon ID 83467-4303 | |
| (208) 756-2927 | |
| (208) 756-1518 |
| Full Name | Lemhi Valley Social Services, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1211 Main St, Salmon, Idaho |
| Authorized Official Name and Position | Mary Smith (OWNER) |
| Authorized Official Contact | 2085245607 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lemhi Valley Social Services, Inc. 1380 Benton St Idaho Falls ID 83401-4254 Ph: (208) 523-2490 | Lemhi Valley Social Services, Inc. 1211 Main St Suite 2 Salmon ID 83467-4303 Ph: (208) 756-2927 |
| NPI Number | 1306970652 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 08/09/2013 |
| Medicare PECOS PAC ID | 1355582370 |
|---|---|
| Medicare Enrollment ID | O20130801000908 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306970652 | NPI | - | NPPES |
| 807372300 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Ethan W Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144657966 PECOS PAC ID: 7315178118 Enrollment ID: I20140319002311 |
| Provider Name | Mary M Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497907869 PECOS PAC ID: 1557508363 Enrollment ID: I20140502000992 |
| Provider Name | Sarah E Marcus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457669962 PECOS PAC ID: 0143543850 Enrollment ID: I20150106000032 |
| Provider Name | David N Holcomb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770724593 PECOS PAC ID: 4183948946 Enrollment ID: I20150127000626 |
| Provider Name | Molly Mcnevin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114448511 PECOS PAC ID: 7012333461 Enrollment ID: I20200824000334 |
| Provider Name | Elizabeth A Ritan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982250924 PECOS PAC ID: 6002201589 Enrollment ID: I20220318002388 |
| Provider Name | Karlee Leeann Boese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568928323 PECOS PAC ID: 7113313925 Enrollment ID: I20220404002140 |
| Provider Name | Beth Ann Guzi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700944766 PECOS PAC ID: 6204274137 Enrollment ID: I20240410003256 |
| Provider Name | John David Hattaway |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447875059 PECOS PAC ID: 1850730755 Enrollment ID: I20240411001817 |
| Provider Name | Delbert Duane Fischer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376550608 PECOS PAC ID: 0547609018 Enrollment ID: I20240416003937 |
| Provider Name | Rachel Pearson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437874617 PECOS PAC ID: 9537509690 Enrollment ID: I20240507000145 |
Lemhi Valley Social Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 Main St, Suite 2, Salmon, ID 83467 Phone: 208-756-2927 Fax: 208-756-1518 | |
Human Dynamics And Diagnostics Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 803 Monroe St Ste 2, Salmon, ID 83467 Phone: 208-524-4953 Fax: 208-524-7335 | |
Lemhi Valley Social Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 Main St, Suite 2, Salmon, ID 83467 Phone: 208-756-2927 Fax: 208-756-1518 | |
Salmon Mental Health Clinic Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Lillian St, Suite 101, Salmon, ID 83467 Phone: 208-756-1573 Fax: 208-756-1579 | |
Idaho Dept Of Health & Welfare Region 7 Cmh Clinic Salmon Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 Main St, Salmon, ID 83467 Phone: 208-756-3336 Fax: 208-756-3805 | |
Lemhi Valley Social Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 Main St, Suite 2, Salmon, ID 83467 Phone: 208-756-2927 Fax: 208-756-1518 |