| Shannon L Wilson, LCSW | |
|
90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 | |
| (208) 288-7580 | |
| Not Available |
| Full Name | Shannon L Wilson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 90 Hope Dr Bldg 6000, Mountain Home Afb, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013396175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-36402 (Idaho) | Primary |
| 104100000X | Social Worker | LMSW-33063 (Idaho) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon L Wilson, LCSW 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 Ph: (208) 828-7500 | Shannon L Wilson, LCSW 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 Ph: (208) 288-7580 |
Jacqueline A Shafer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 90 Hope Dr, Mountain Home Afb, ID 83648 Phone: 208-828-7531 | |
Dr. Cleo Patrick, PHD, LCSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 366 Gunfighter Ave # 366mdg, Mountain Home Afb, ID 83648 Phone: 208-828-7655 | |
Roberto Olvera, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 Phone: 208-828-7520 | |
Gaynell Denise Hill, LCSW, MAC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 Phone: 912-536-1643 | |
Debra E Hayton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 Phone: 208-828-7505 | |
Susanna Castleberry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 90 Hope Dr, Mountain Home Afb, ID 83648 Phone: 208-828-7580 |