| Alice Dawn Manwaring, LCSW | |
|
72 S 1st E Ste 103, Rexburg, ID 83440-1965 | |
| (208) 356-4900 | |
| (208) 372-1023 |
| Full Name | Alice Dawn Manwaring |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 11 Years |
| Location | 72 S 1st E Ste 103, Rexburg, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568760635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-38059 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Upper Valley Community Health Services Inc | 4385725282 | 24 |
| Entity Name | Upper Valley Community Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972792489 PECOS PAC ID: 4385725282 Enrollment ID: O20120611000120 |
| Mailing Address | Practice Location Address |
|---|---|
| Alice Dawn Manwaring, LCSW Po Box 18, Saint Anthony, ID 83445-0018 Ph: (208) 356-4900 | Alice Dawn Manwaring, LCSW 72 S 1st E Ste 103, Rexburg, ID 83440-1965 Ph: (208) 356-4900 |
Courtney I Stimpson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1069 Summers Dr Ste B, Rexburg, ID 83440 Phone: 208-557-3430 | |
Ms. Janell Clement, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 218 Dividend Dr, Rexburg, ID 83440 Phone: 208-359-9683 | |
Rhet Dalling, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 72 S 1st E Ste 103, Rexburg, ID 83440 Phone: 208-356-4900 Fax: 208-372-1023 | |
Ambrya Ande White, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 393 E 2nd N, Rexburg, ID 83440 Phone: 208-359-4840 Fax: 208-359-9010 | |
Eric Scott Fernelius, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 339 E 7th N, Rexburg, ID 83440 Phone: 801-510-4750 | |
Trevor James Nelson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 33 Madison Professional Park, Rexburg, ID 83440 Phone: 208-243-9304 Fax: 208-656-5668 | |
Kerry Anne Draney, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 393 E 2nd N, Rexburg, ID 83440 Phone: 208-359-4840 Fax: 208-359-9010 |