| Deemarla Tavares, LMSW | |
|
3700 W Seltice Way, Coeur D Alene, ID 83814-8921 | |
| (208) 620-5250 | |
| Not Available |
| Full Name | Deemarla Tavares |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 3700 W Seltice Way, Coeur D Alene, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033537626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LMSW-30760 (Idaho) | Primary |
| 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 |
|---|---|
| Deemarla Tavares, LMSW 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 Ph: (208) 769-4222 | Deemarla Tavares, LMSW 3700 W Seltice Way, Coeur D Alene, ID 83814-8921 Ph: (208) 620-5250 |
Donna Colberg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6050 E Kingswood Ln, Coeur D Alene, ID 83814 Phone: 208-651-3948 | |
Ms. Erica Marie Chaney I, LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3700 W Seltice Way, Coeur D Alene, ID 83814 Phone: 208-620-5250 | |
Mr. Jud Eugene Leifheit, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1110 W Park Pl Ste 305, Coeur D Alene, ID 83814 Phone: 208-667-6606 Fax: 208-765-3051 | |
Wayne Bingham Timonen, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7905 N Meadowlark Way, Suite C, Coeur D Alene, ID 83815 Phone: 208-762-3979 Fax: 208-762-4419 | |
Robert K Wyatt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1111 W Ironwood Dr Ste B, Coeur D Alene, ID 83814 Phone: 208-664-1594 Fax: 208-664-5867 | |
Laurie D Regan, LCSW 688 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-666-2000 Fax: 208-666-3963 |