Travis Wade Cronin, LCSW is a
Social Worker - Clinical based in Mountain Home A F B, Idaho. Travis Wade Cronin is licensed to practice in Idaho (license number LCSW 31117) and his current practice location is
90 Hope Dr, Mountain Home A F B, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 828-7582.
NPI number for Travis Wade Cronin is 1811270697 and his current mailing address is 90 Hope Dr, Mountain Home A F B, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811270697.
Healthcare Provider's Profile
| Full Name | Travis Wade Cronin |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 90 Hope Dr, Mountain Home A F B, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811270697
- Provider Enumeration Date: 09/27/2011
- Last Update Date: 11/06/2011
Medical Identifiers
Medical identifiers for Travis Wade Cronin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811270697 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | LCSW 31117 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Travis Wade Cronin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Travis Wade Cronin, LCSW
90 Hope Dr,
Mountain Home A F B, ID 83648-1057
Ph: (208) 828-7582 | Travis Wade Cronin, LCSW
90 Hope Dr,
Mountain Home A F B, ID 83648-1057
Ph: (208) 828-7582 |
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