Ms Lisa Marie Tovar, LCSW | |
1210 Nw 16th St, Fruitland, ID 83619-2202 | |
(208) 452-8700 | |
(208) 452-8701 |
Full Name | Ms Lisa Marie Tovar |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 10 Years |
Location | 1210 Nw 16th St, Fruitland, 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 |
---|---|---|---|
1336535178 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-37515 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Regional Medical Center | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic-treasure Valley Llc | 4981878402 | 968 |
Entity Name | St Lukes Clinic-treasure Valley Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Entity Name | Saint Alphonsus Medical Center- Ontario Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093034159 PECOS PAC ID: 1456488899 Enrollment ID: O20120229000024 |
Mailing Address | Practice Location Address |
---|---|
Ms Lisa Marie Tovar, LCSW 1210 Nw 16th St, Fruitland, ID 83619-2202 Ph: (208) 452-8700 | Ms Lisa Marie Tovar, LCSW 1210 Nw 16th St, Fruitland, ID 83619-2202 Ph: (208) 452-8700 |
Mr. Jesse Ray Cobb, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1210 Nw 16th St, Fruitland, ID 83619 Phone: 208-452-8600 | |
Amy Beitia, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 320 Magnolia Ave, Fruitland, ID 83619 Phone: 208-250-7059 | |
Mrs. Becky Jean Wolery, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 910 Nw 16th St Ste 101, Fruitland, ID 83619 Phone: 208-452-8000 Fax: 208-452-8055 | |
Cami Lynn Blackburn, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1118 Nw 16th St Ste D, Fruitland, ID 83619 Phone: 208-452-7677 | |
Mrs. Frankie Diane Larsen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7665 Custer Rd, Fruitland, ID 83619 Phone: 208-271-9362 Fax: 208-271-9262 |