| Ms Patrece Elisabeth Moody Meza, LCSW | |
|
190 W. Main Street, Kuna, ID 83634-0959 | |
| (208) 733-1996 | |
| Not Available |
| Full Name | Ms Patrece Elisabeth Moody Meza |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 190 W. Main Street, Kuna, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649250564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW 457 (Idaho) | Primary |
| 1041C0700X | Social Worker - Clinical | 457 (Idaho) | Secondary |
| Entity Name | Adolpho Enterprise Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932454642 PECOS PAC ID: 1254552581 Enrollment ID: O20141029001984 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Patrece Elisabeth Moody Meza, LCSW Po Box 959, 190 W. Main Street Kuna Counseling Center, Kuna, ID 83634-0959 Ph: (208) 922-9001 | Ms Patrece Elisabeth Moody Meza, LCSW 190 W. Main Street, Kuna, ID 83634-0959 Ph: (208) 733-1996 |
Noel Hudon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 309 E Whitbeck St, Kuna, ID 83634 Phone: 208-891-9555 Fax: 208-922-3778 | |
Monica Baker, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 145 E Deer Flat Rd, Kuna, ID 83634 Phone: 208-922-9001 Fax: 208-922-3778 | |
Melodie Jeannie Reinke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 190 W Main St, Kuna, ID 83634 Phone: 208-922-9001 Fax: 208-922-3778 | |
Mary Lavern Wurtz, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 552 N Moonglow Ave, Kuna, ID 83634 Phone: 208-507-8065 | |
Mrs. Dolly Anne Barnes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 190 West Main Street, Kuna, ID 83634 Phone: 208-922-9001 Fax: 208-922-3778 | |
Mrs. Ronda Kay Cox, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 190 W. Main St., Kuna, ID 83634 Phone: 208-922-9001 Fax: 208-922-3778 | |
Melissa A. Woods, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 190 W. Main St., Kuna, ID 83634 Phone: 208-922-9001 Fax: 208-922-3778 |