Mrs Elizabeth Loosli, LCSW | |
1675 Curlew Dr, Ammon, ID 83406-4718 | |
(208) 523-5319 | |
(208) 523-5627 |
Full Name | Mrs Elizabeth Loosli |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1675 Curlew Dr, Ammon, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578024832 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-41598 (Idaho) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LMSW-37842 (Idaho) | Secondary |
Entity Name | 4 Pillars Of Success Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619134277 PECOS PAC ID: 4688027188 Enrollment ID: O20240131004474 |
Mailing Address | Practice Location Address |
---|---|
Mrs Elizabeth Loosli, LCSW Po Box 2106, Idaho Falls, ID 83403-2106 Ph: (208) 523-5319 | Mrs Elizabeth Loosli, LCSW 1675 Curlew Dr, Ammon, ID 83406-4718 Ph: (208) 523-5319 |
Ms. Marcia D Roberts, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1675 Curlew Dr, Ammon, ID 83406 Phone: 208-529-8832 | |
Paul Bryan Wurtsmith, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3754 Briar Creek Ln, Ammon, ID 83406 Phone: 360-831-7425 | |
Stephanie Toldson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3315 E. Chasewood Drive, Ammon, ID 83406 Phone: 208-269-6606 | |
Kristy Diane Goodson, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1675 Curlew Dr, Ammon, ID 83406 Phone: 208-523-5319 | |
Zachary Brooks, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1675 Curlew Dr, Ammon, ID 83406 Phone: 208-523-5319 | |
Ruth Anne Patton, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3317 E Chasewood Dr, Ammon, ID 83406 Phone: 208-538-4040 Fax: 208-538-4140 | |
Eric M Schaat, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3522 Briar Creek Ln, Ammon, ID 83406 Phone: 208-529-1660 Fax: 208-529-1699 |