| Mindy Jensen, LMSW | |
|
335 E Main St, Saint Anthony, ID 83445-1546 | |
| (208) 356-4900 | |
| (208) 624-4030 |
| Full Name | Mindy Jensen |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 335 E Main St, Saint Anthony, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114412350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-40962 (Idaho) | Primary |
| Entity Name | Upper Valley Community Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972792489 PECOS PAC ID: 4385725282 Enrollment ID: O20120611000120 |
| Mailing Address | Practice Location Address |
|---|---|
| Mindy Jensen, LMSW Po Box 18, Saint Anthony, ID 83445-0018 Ph: (208) 356-4900 | Mindy Jensen, LMSW 335 E Main St, Saint Anthony, ID 83445-1546 Ph: (208) 356-4900 |
Megan L Thompson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 335 E Main St Ste 3, Saint Anthony, ID 83445 Phone: 208-356-4900 Fax: 208-624-4030 | |
Mrs. Katie Michelle Mcfarland, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 335 E Main St Ste 3, Saint Anthony, ID 83445 Phone: 208-356-4900 Fax: 208-624-4030 | |
Beth Winegar, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 357 N 1587 E, Saint Anthony, ID 83445 Phone: 208-709-0167 | |
Erin Michelle Pullman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 335 E Main St, Saint Anthony, ID 83445 Phone: 208-356-4900 Fax: 208-624-4030 | |
Charlotte Ann Fatafehi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 335 E Main St Ste 3, Saint Anthony, ID 83445 Phone: 208-356-4900 Fax: 208-624-4030 | |
Amy Irene Ohs, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 335 E Main St, Saint Anthony, ID 83445 Phone: 208-356-4900 Fax: 208-624-4030 |