| Sadie Green, | |
|
207 Larkspur St, Ponderay, ID 83852-5011 | |
| (208) 255-3334 | |
| Not Available |
| Full Name | Sadie Green |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 207 Larkspur St, Ponderay, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114388105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-35936 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sadie Green, 514 N Sixth Ave, Sandpoint, ID 83864-1525 Ph: (304) 209-0700 | Sadie Green, 207 Larkspur St, Ponderay, ID 83852-5011 Ph: (208) 255-3334 |
Anna Louise Lawrence, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 207 Larkspur St, Ponderay, ID 83852 Phone: 208-255-3314 Fax: 208-263-4198 | |
Jordan Lande, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 27 Lavender Ln, Ponderay, ID 83852 Phone: 406-465-2465 | |
Brenda Hammond, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 476394 Highway 95 Ste 201, Ponderay, ID 83852 Phone: 208-263-8833 Fax: 208-263-1528 |