| Ira Roach, LCSW | |
|
900 N Liberty St Ste 206, Boise, ID 83704-8729 | |
| (208) 302-1100 | |
| (208) 302-1155 |
| Full Name | Ira Roach |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 10 Years |
| Location | 900 N Liberty St Ste 206, Boise, Idaho |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427670033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 22509 (Arizona) | Secondary |
| 1041C0700X | Social Worker - Clinical | 3381420 (Idaho) | Primary |
| Entity Name | Denova Collaborative Health, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609300854 PECOS PAC ID: 2466437736 Enrollment ID: O20040621001542 |
| Mailing Address | Practice Location Address |
|---|---|
| Ira Roach, LCSW Po Box 190930, Boise, ID 83719-0930 Ph: (208) 367-5170 | Ira Roach, LCSW 900 N Liberty St Ste 206, Boise, ID 83704-8729 Ph: (208) 302-1100 |
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 |
Jenny Crow, LMSW, RPT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2995 N Cole Rd, Suite 270, Boise, ID 83704 Phone: 208-576-6464 Fax: 208-392-1378 |
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 |
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 |
Sylvia Oh, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2118 S Latah St, Boise, ID 83705 Phone: 208-999-7424 |