| Mr Tom C Ahlrichs, LCSW | |
| 777 N Raymond St, Boise, ID 83704-9251 | |
| (208) 367-6044 | |
| (208) 375-8817 | 
| Full Name | Mr Tom C Ahlrichs | 
|---|---|
| Gender | Male | 
| Speciality | Social Worker - Clinical | 
| Location | 777 N Raymond St, Boise, Idaho | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1013135078 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-24633 (Idaho) | Primary | 
| Entity Name | Northend Wellness Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1306230958 PECOS PAC ID: 2163720848 Enrollment ID: O20160413000693 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Tom C Ahlrichs, LCSW 777 N Raymond St, Boise, ID 83704-9251 Ph: (208) 367-6044 | Mr Tom C Ahlrichs, LCSW 777 N Raymond St, Boise, ID 83704-9251 Ph: (208) 367-6044 | 
| Mr. Johnny Josiah Meehan, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6855 W Fairview Ave, Boise, ID 83704 Phone: 208-323-9600 Fax: 208-323-9606 | |
| 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 | |
| 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 | |
| Dr. Paula K Barrett, PSYD, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 444 W Fort St Fl 2, Boise, ID 83702 Phone: 208-422-1018 | |
| 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 | |
| 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 |