| Shelly D Sanders, LCSW | |
|
1620 Northwest Blvd Ste 101, Coeur D Alene, ID 83814-2488 | |
| (208) 512-5085 | |
| (800) 865-1927 |
| Full Name | Shelly D Sanders |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1620 Northwest Blvd Ste 101, Coeur D Alene, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396274056 | NPI | - | NPPES |
| 36775 | Other | ID | LICENSE |
| 39692 | Other | ID | LCSW LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 39692 (Idaho) | Primary |
| Entity Name | Conceptual Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245882828 PECOS PAC ID: 2860822996 Enrollment ID: O20200414000195 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelly D Sanders, LCSW 1620 Northwest Blvd Ste 101, Coeur D Alene, ID 83814-2488 Ph: (208) 512-5085 | Shelly D Sanders, LCSW 1620 Northwest Blvd Ste 101, Coeur D Alene, ID 83814-2488 Ph: (208) 512-5085 |
Donna Colberg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6050 E Kingswood Ln, Coeur D Alene, ID 83814 Phone: 208-651-3948 | |
Deemarla Tavares, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3700 W Seltice Way, Coeur D Alene, ID 83814 Phone: 208-620-5250 | |
Tina Husky, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3700 W Seltice Way, Coeur D Alene, ID 83814 Phone: 208-620-5250 | |
Ms. Erica Marie Chaney I, LSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3700 W Seltice Way, Coeur D Alene, ID 83814 Phone: 208-620-5250 | |
Mr. Jud Eugene Leifheit, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1110 W Park Pl Ste 305, Coeur D Alene, ID 83814 Phone: 208-667-6606 Fax: 208-765-3051 | |
Wayne Bingham Timonen, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7905 N Meadowlark Way, Suite C, Coeur D Alene, ID 83815 Phone: 208-762-3979 Fax: 208-762-4419 | |
Robert K Wyatt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1111 W Ironwood Dr Ste B, Coeur D Alene, ID 83814 Phone: 208-664-1594 Fax: 208-664-5867 |