| Kaitlin Thomas, LCSW | |
|
824 S Diamond St, Nampa, ID 83686-5960 | |
| (208) 812-4999 | |
| Not Available |
| Full Name | Kaitlin Thomas |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 11 Years |
| Location | 824 S Diamond St, Nampa, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457828451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-41465 (Idaho) | Primary |
| 104100000X | Social Worker | LMSW-36235 (Idaho) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cornerstone Whole Healthcare Organization Inc. | 9830564665 | 5 |
| Entity Name | St Lukes Clinic - Mccall Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881982510 PECOS PAC ID: 7618127994 Enrollment ID: O20121120000225 |
| Entity Name | Cornerstone Whole Healthcare Organization Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164153508 PECOS PAC ID: 9830564665 Enrollment ID: O20230410002158 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaitlin Thomas, LCSW 965 Ridge Rd, Mccall, ID 83638-5417 Ph: (208) 630-4770 | Kaitlin Thomas, LCSW 824 S Diamond St, Nampa, ID 83686-5960 Ph: (208) 812-4999 |
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: Medicare Enrolled 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 |