Alison Nicole Rider, LCSW | |
151 N 3rd Ave Ste 330, Pocatello, ID 83201-6369 | |
(208) 242-3771 | |
Not Available |
Full Name | Alison Nicole Rider |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 151 N 3rd Ave Ste 330, Pocatello, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053989947 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-45390 (Idaho) | Primary |
Entity Name | Gateway Counseling Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528366424 PECOS PAC ID: 3870776610 Enrollment ID: O20110331000651 |
Mailing Address | Practice Location Address |
---|---|
Alison Nicole Rider, LCSW 346 W Lovejoy St Apt 7, Pocatello, ID 83204-3462 Ph: (208) 251-4776 | Alison Nicole Rider, LCSW 151 N 3rd Ave Ste 330, Pocatello, ID 83201-6369 Ph: (208) 242-3771 |
Amber Mickelsen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 E Venture Way Apt 5308, Pocatello, ID 83201 Phone: 208-380-6968 | |
Miss Kilynn Lois Hainline, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 850 East Young St, Pocatello, ID 83201 Phone: 208-223-8780 Fax: 208-242-3892 | |
Jennifer Marie Miles, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1368 El Rancho Blvd, Pocatello, ID 83201 Phone: 208-339-6565 | |
Deanna Sue Smith, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 214 E Center, Ste 40, Pocatello, ID 83201 Phone: 208-545-7966 Fax: 208-241-6215 | |
Mr. Trevor J. Crapo, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2055 Garrett Way Ste 1, Pocatello, ID 83201 Phone: 208-233-7832 Fax: 208-232-7835 | |
Dian Shawver, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1023 Yellowstone Ave, Ste J, Pocatello, ID 83201 Phone: 208-478-9551 Fax: 208-478-1507 |