“Clinical Social Worker” (Mountain Home Afb, ID)

Location: Mountain Home Afb, ID
Taxonomy: Clinical Social Worker.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.

1013396175 — SHANNON L WILSON LCSW

Practice Location Address:

90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB ID
83648-1062

Practice Phone: 208-288-7580

1013396175 mobile

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1053819300 — JACQUELINE A SHAFER LCSW

Practice Location Address:

90 HOPE DR
MOUNTAIN HOME AFB ID
83648-1057

Practice Phone: 208-828-7531

1053819300 mobile

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1275888943 — DR. CLEO PATRICK PHD, LCSW, LICSW

Practice Location Address:

366 GUNFIGHTER AVE # 366MDG
MOUNTAIN HOME AFB ID
83648-5258

Practice Phone: 208-828-7655

1275888943 mobile

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1306094941 — ROBERTO OLVERA LCSW

Practice Location Address:

90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB ID
83648

Practice Phone: 208-828-7520

1306094941 mobile

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1366772253 — GAYNELL DENISE HILL LCSW, MAC

Practice Location Address:

90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB ID
83648-1062

Practice Phone: 912-536-1643

1366772253 mobile

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1417236928 — DEBRA E HAYTON LCSW

Practice Location Address:

90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB ID
83648-1062

Practice Phone: 208-828-7505

1417236928 mobile

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1518365618 — SUSANNA CASTLEBERRY LCSW

Practice Location Address:

90 HOPE DR
MOUNTAIN HOME AFB ID
83648-1057

Practice Phone: 208-828-7580

1518365618 mobile

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1669444220 — THOMAS MADDEN

Practice Location Address:

90 HOPE DR
MOUNTAIN HOME AFB ID
83648-1057

Practice Phone: 208-828-7520

1669444220 mobile

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1689372427 — ERIN WARD LCSW-C

Practice Location Address:

90 HOPE DR
MOUNTAIN HOME AFB ID
83648-1057

Practice Phone: 208-828-7520

1689372427 mobile

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1780199828 — KELLIE KING CSW-INTERN

Practice Location Address:

90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB ID
83648-1062

Practice Phone: 208-828-7580

1780199828 mobile

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1922456979 — JAKOB KAMILOW

Practice Location Address:

90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB ID
83648-1062

Practice Phone: 208-828-7297

1922456979 mobile

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