| Ravae Minton, MSW, LCSW | |
|
1373 Fillmore St, Twin Falls, ID 83301-3392 | |
| (208) 737-9999 | |
| (208) 736-4400 |
| Full Name | Ravae Minton |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1373 Fillmore St, Twin Falls, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134220312 | NPI | - | NPPES |
| L4280 | Other | ID | BLUE CROSS |
| 000010148212 | Other | ID | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-24889 (Idaho) | Primary |
| Entity Name | Positive Connections, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942301106 PECOS PAC ID: 3971822313 Enrollment ID: O20150506000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Ravae Minton, MSW, LCSW 1373 Fillmore St, Twin Falls, ID 83301-3392 Ph: (208) 737-9999 | Ravae Minton, MSW, LCSW 1373 Fillmore St, Twin Falls, ID 83301-3392 Ph: (208) 737-9999 |
Taylor Moyle, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 493 Eastland Dr, Twin Falls, ID 83301 Phone: 208-410-4866 | |
Amy Allison Walker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 451 Eastland Dr, Twin Falls, ID 83301 Phone: 208-258-7681 | |
Ms. Amanda Breaux Gray, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1940 Laura Cir, Twin Falls, ID 83301 Phone: 208-539-4900 | |
Dr. Richard Brian Keene, PHD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 222 Shoshone St E, Twin Falls, ID 83301 Phone: 208-370-8288 | |
Garrett J Sasse, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000 | |
Larry Kirk Hazen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 260 2nd Ave E, Twin Falls, ID 83301 Phone: 208-732-0947 | |
Cynthia Lynn Opdycke, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1373 Fillmore St, Twin Falls, ID 83301 Phone: 208-737-9999 Fax: 208-736-4400 |