| Jennifer Fish, | |
|
1150 N Sister Catherine Way, Nampa, ID 83687-3133 | |
| (208) 302-7000 | |
| (208) 302-7055 |
| Full Name | Jennifer Fish |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1150 N Sister Catherine Way, Nampa, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104663475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LMSW-40359 (Idaho) | Primary |
| Entity Name | Saint Alphonsus Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Fish, 1533 W Rainbow Trout St, Meridian, ID 83642-1432 Ph: () - | Jennifer Fish, 1150 N Sister Catherine Way, Nampa, ID 83687-3133 Ph: (208) 302-7000 |
Lyndzee Johnson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 204 10th Ave S, Nampa, ID 83651 Phone: 208-466-2229 | |
Lindsay Nelson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9850 W St Lukes Dr, Nampa, ID 83687 Phone: 208-505-2000 | |
Ashley Hammargren Freeman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 223 16th Ave N, Nampa, ID 83687 Phone: 208-466-7869 Fax: 208-466-5359 | |
Mr. Jeff Ryan Moreno, L.C.S.W. Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 923 16th Ave S, Nampa, ID 83651 Phone: 208-639-1514 Fax: 208-639-2301 | |
Ricardo Ramirez-hernandez, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1007 W Orchard Ave, Nampa, ID 83651 Phone: 208-602-2731 Fax: 208-561-6611 | |
Jodie Keys, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 156 Mcclure Ave, Nampa, ID 83651 Phone: 208-467-7654 Fax: 208-466-5359 | |
Jacqueline Sherwood, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13 N Adams St, Nampa, ID 83651 Phone: 208-724-2576 |