| Tiffany Hayner, LMSW | |
|
1675 Curlew Dr, Ammon, ID 83406-4850 | |
| (208) 523-5319 | |
| (208) 523-5319 |
| Full Name | Tiffany Hayner |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1675 Curlew Dr, Ammon, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477018323 | NPI | - | NPPES |
| 1396176582 | Medicaid | ID | |
| 1619134277 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LMSW-38327 (Idaho) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-41703 (Idaho) | Primary |
| Entity Name | 4 Pillars Of Success Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619134277 PECOS PAC ID: 4688027188 Enrollment ID: O20240131004474 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Hayner, LMSW Po Box 2106, Idaho Falls, ID 83403-2106 Ph: (208) 523-5319 | Tiffany Hayner, LMSW 1675 Curlew Dr, Ammon, ID 83406-4850 Ph: (208) 523-5319 |
Ms. Marcia D Roberts, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1675 Curlew Dr, Ammon, ID 83406 Phone: 208-529-8832 | |
Paul Bryan Wurtsmith, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3754 Briar Creek Ln, Ammon, ID 83406 Phone: 360-831-7425 | |
Stephanie Toldson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3315 E. Chasewood Drive, Ammon, ID 83406 Phone: 208-269-6606 | |
Kristy Diane Goodson, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1675 Curlew Dr, Ammon, ID 83406 Phone: 208-523-5319 | |
Zachary Brooks, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1675 Curlew Dr, Ammon, ID 83406 Phone: 208-523-5319 | |
Ruth Anne Patton, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3317 E Chasewood Dr, Ammon, ID 83406 Phone: 208-538-4040 Fax: 208-538-4140 | |
Eric M Schaat, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3522 Briar Creek Ln, Ammon, ID 83406 Phone: 208-529-1660 Fax: 208-529-1699 |