MEDICARE: SPENCER EMERY WEBB LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCSW-29533	ID

General Provider Information

NPI Number	:	1871696831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SPENCER EMERY WEBB LCSW

Provider Business Mailing Address
First Line	:	PO BOX 18
Second Line	:
City	:	SAINT ANTHONY
State	:	ID
Zip	:	83445-0018
Country	:	US
Telephone Number	:	208-356-4900
Fax Number	:	208-624-4030

Provider Business Practice Location Address
First Line	:	335 E MAIN ST STE 3
Second Line	:
City	:	SAINT ANTHONY
State	:	ID
Zip	:	83445-1546
Country	:	US
Telephone Number	:	208-356-4900
Fax Number	:	208-624-4030

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2006
Last Update Date	:	05/23/2024

Similar Medicare Providers

1811043862 — BRYCE DAVID WYLIE PA-C
Practice Location Address:

335 E MAIN ST STE 1
SAINT ANTHONY, ID
83445-1546

Practice Phone: 208-356-4900
Practice Fax: 208-624-4116

1992903561 — LEIF HOLBROOK SORENSEN LCSW
Practice Location Address:

335 E MAIN ST STE 3
SAINT ANTHONY, ID
83445-1546

Practice Phone: 208-356-4900
Practice Fax: 208-624-4030

1972792489 — UPPER VALLEY COMMUNITY HEALTH SERVICES INC
Practice Location Address:

335 E MAIN ST STE 1
SAINT ANTHONY, ID
83445-1546

Practice Phone: 208-356-4900
Practice Fax: 208-624-4116

1386955029 — DR. JUSTIN THOMAS PETERSON D.D.S.
Practice Location Address:

325 E MAIN ST
SAINT ANTHONY, ID
83445-1546

Practice Phone: 208-356-4900
Practice Fax: 208-624-4117

1760766976 — ANDREW LOGAN BROWER PA-C
Practice Location Address:

335 E MAIN ST STE 1
SAINT ANTHONY, ID
83445-1546

Practice Phone: 208-356-4900
Practice Fax: 208-624-4116

1538422019 — DR. TREVOR GLADE WILDE D.O.
Practice Location Address:

335 E MAIN ST STE 1
SAINT ANTHONY, ID
83445-1546

Practice Phone: 208-356-4900
Practice Fax: 208-624-4116

Directions to “ SPENCER EMERY WEBB LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.