| Brenda Tennant, LCSW | |
|
820 S Latah St Ste 106, Boise, ID 83705-2255 | |
| (208) 572-2883 | |
| Not Available |
| Full Name | Brenda Tennant |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 820 S Latah St Ste 106, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194044149 | NPI | - | NPPES |
| 1194044149 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW32590 (Idaho) | Primary |
| Entity Name | Integrity Psychiatric Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922582501 PECOS PAC ID: 4082968599 Enrollment ID: O20181120002521 |
| Entity Name | West Wind Mental Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982366670 PECOS PAC ID: 4981096997 Enrollment ID: O20220125002983 |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Tennant, LCSW 12 Condor Cir, Boise, ID 83716-3360 Ph: (208) 870-4274 | Brenda Tennant, LCSW 820 S Latah St Ste 106, Boise, ID 83705-2255 Ph: (208) 572-2883 |
Mr. Johnny Josiah Meehan, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6855 W Fairview Ave, Boise, ID 83704 Phone: 208-323-9600 Fax: 208-323-9606 | |
Kristie Kaes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2121 Fax: 208-367-7305 | |
John Bradford Hunt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 202 N 9th St Ste 201c, Boise, ID 83702 Phone: 208-549-9597 | |
Dr. Paula K Barrett, PSYD, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 444 W Fort St Fl 2, Boise, ID 83702 Phone: 208-422-1018 | |
Rachel Jessen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5985 W State St, Boise, ID 83703 Phone: 208-853-0071 Fax: 208-853-9422 | |
Mr. Tom C Ahlrichs, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-367-6044 Fax: 208-375-8817 | |
Mrs. Amy Niblock Balzer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1720 N Westgate Dr, Suite A-1, Boise, ID 83704 Phone: 208-334-0874 Fax: 208-334-0812 |