Mr Jeff Ryan Moreno, LCSW | |
923 16th Ave S, Nampa, ID 83651-4731 | |
(208) 639-1514 | |
(208) 639-2301 |
Full Name | Mr Jeff Ryan Moreno |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 18 Years |
Location | 923 16th Ave S, Nampa, Idaho |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083983514 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-31828 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Stellar Mental Health And Mediation, Llc | 5193038552 | 5 |
Entity Name | Stellar Mental Health & Mediation, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902225436 PECOS PAC ID: 5193038552 Enrollment ID: O20150715000338 |
Mailing Address | Practice Location Address |
---|---|
Mr Jeff Ryan Moreno, LCSW 923 16th Ave S, Nampa, ID 83651-4731 Ph: (208) 639-1514 | Mr Jeff Ryan Moreno, LCSW 923 16th Ave S, Nampa, ID 83651-4731 Ph: (208) 639-1514 |
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 | |
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 | |
Jessica Chilcott, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 923 16th Ave S, Nampa, ID 83651 Phone: 208-639-1514 |