| Amber Mickelsen, | |
|
1500 E Venture Way Apt 5308, Pocatello, ID 83201-1205 | |
| (208) 380-6968 | |
| Not Available |
| Full Name | Amber Mickelsen |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1500 E Venture Way Apt 5308, Pocatello, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043002595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-38418 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Amber Mickelsen, 1500 E Venture Way Apt 5308, Pocatello, ID 83201-1205 Ph: (208) 380-6968 | Amber Mickelsen, 1500 E Venture Way Apt 5308, Pocatello, ID 83201-1205 Ph: (208) 380-6968 |
Alison Nicole Rider, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 151 N 3rd Ave Ste 330, Pocatello, ID 83201 Phone: 208-242-3771 | |
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 |