Healthcare Provider Details

I. General information

NPI: 1255527859
Provider Name (Legal Business Name): MARINELL RHINE L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2007
Last Update Date: 12/14/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 IDAHO ST
AMERICAN FALLS ID
83211-1235
US

IV. Provider business mailing address

5310 WARD ROAD SUITE 106
ARVADA CO
80002-1829
US

V. Phone/Fax

Practice location:
  • Phone: 208-226-7500
  • Fax: 208-226-7501
Mailing address:
  • Phone: 303-278-7418
  • Fax: 888-341-5050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-822
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: