| Dan Tadlock, LCSW | |
|
6426 Kootenai Street, Suite 103, Bonners Ferry, ID 83805-5005 | |
| (208) 291-1516 | |
| Not Available |
| Full Name | Dan Tadlock |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 22 Years |
| Location | 6426 Kootenai Street, Suite 103, Bonners Ferry, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124397476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-29379 (Idaho) | Primary |
| Entity Name | Kootenai Tribe of Idaho |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669594057 PECOS PAC ID: 7315184926 Enrollment ID: O20130517000477 |
| Entity Name | Valley Behavioral Health Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932166980 PECOS PAC ID: 0042121196 Enrollment ID: O20190626002145 |
| Mailing Address | Practice Location Address |
|---|---|
| Dan Tadlock, LCSW Po Box 1014, Bonners Ferry, ID 83805-1014 Ph: (208) 255-9460 | Dan Tadlock, LCSW 6426 Kootenai Street, Suite 103, Bonners Ferry, ID 83805-5005 Ph: (208) 291-1516 |
Kimberly Ruth Carey, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6451 Mccall St Ste D, Bonners Ferry, ID 83805 Phone: 208-520-7155 |
Gina M. Beck, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6451 Mccall St Ste D, Bonners Ferry, ID 83805 Phone: 208-304-2657 Fax: 208-215-2473 |
Robert Rossi, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: Kaniksu Health Services, 6615 Comanche St, Bonners Ferry, ID 83805 Phone: 612-343-4215 |
Jeanne B Racer, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 147 Emerson Ln, Bonners Ferry, ID 83805 Phone: 208-267-7522 |
Rachel Meiland-webster, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 3068, Room 200, Bonners Ferry, ID 83805 Phone: 208-267-8182 |
Susan F. Falck, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7583 N. Main Street Hwy 95, Bonners Ferry, ID 83805 Phone: 208-267-1801 Fax: 208-267-9020 |
Silas T Thompson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7167 1st St Unit 465, Bonners Ferry, ID 83805 Phone: 208-290-4944 |