| Amanda Rae Olson, LCSW | |
|
740 Mckinley Ave, Kellogg, ID 83837-2693 | |
| (208) 783-1267 | |
| Not Available |
| Full Name | Amanda Rae Olson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 740 Mckinley Ave, Kellogg, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588158943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 41308 (Idaho) | Primary |
| 104100000X | Social Worker | LMSW-37773 (Idaho) | Secondary |
| Entity Name | Dirne Health Centers, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285686477 PECOS PAC ID: 2466353354 Enrollment ID: O20050303001041 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Rae Olson, LCSW 204 Oregon St, Kellogg, ID 83837-5018 Ph: (208) 512-0733 | Amanda Rae Olson, LCSW 740 Mckinley Ave, Kellogg, ID 83837-2693 Ph: (208) 783-1267 |
Amanda Morse, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14 Emerson Ln, Kellogg, ID 83837 Phone: 208-783-0660 | |
Ms. Deborah K Scudder, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 601 W Cameron Ave, Kellogg, ID 83837 Phone: 208-784-1283 Fax: 208-784-0151 | |
Jennifer Lynn Porter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 740 Mckinley Ave, Kellogg, ID 83837 Phone: 208-783-1267 Fax: 844-807-3782 |