MEDICARE: ANGELA M SAITTA 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-41502	ID
2	1041C0700X	Clinical Social Worker	L14079	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578010427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA M SAITTA LCSW

Provider Business Mailing Address
First Line	:	1441 NE 10TH AVE
Second Line	:
City	:	PAYETTE
State	:	ID
Zip	:	83661-5420
Country	:	US
Telephone Number	:	208-642-9376
Fax Number	:	208-642-9598

Provider Business Practice Location Address
First Line	:	300 N PLYMOUTH AVE
Second Line	:
City	:	NEW PLYMOUTH
State	:	ID
Zip	:	83655-5525
Country	:	US
Telephone Number	:	208-278-3335
Fax Number	:	208-287-3337

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

Provider Enumeration Date	:	09/08/2016
Last Update Date	:	01/14/2026

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Directions to “ ANGELA M SAITTA LCSW” Practice Location

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