| Michael L Stevens, LCSW | |
|
109 N Arthur Ave Ste 203, Pocatello, ID 83204-3105 | |
| (208) 234-4673 | |
| (208) 234-4677 |
| Full Name | Michael L Stevens |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 29 Years |
| Location | 109 N Arthur Ave Ste 203, Pocatello, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013013010 | NPI | - | NPPES |
| 807197600 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCSW-1279 (Idaho) | Primary |
| Entity Name | Hope Tree Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598976045 PECOS PAC ID: 3779710876 Enrollment ID: O20131217001180 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael L Stevens, LCSW 109 N Arthur Ave Ste 203, Pocatello, ID 83204-3105 Ph: (208) 234-4673 | Michael L Stevens, LCSW 109 N Arthur Ave Ste 203, Pocatello, ID 83204-3105 Ph: (208) 234-4673 |
Ms. Dedra Christine Sanna, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Washington Ave, Pocatello, ID 83201 Phone: 208-234-2646 Fax: 208-232-0035 | |
Courtney Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2055 Garrett Way, Ste 2, Pocatello, ID 83201 Phone: 208-233-7832 | |
Lisa Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 S Main St, Pocatello, ID 83204 Phone: 208-232-8840 | |
Ms. Rit Larae Nauman, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3330 Highway 30 W, Pocatello, ID 83201 Phone: 208-234-9100 Fax: 208-234-9104 | |
Mrs. Cassidy Michelle Roske, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Washington Ave, Pocatello, ID 83201 Phone: 208-234-2646 Fax: 208-232-0035 | |
Matthew R Christensen, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 5230 W Moonlight Mine Rd., Pocatello, ID 83201 Phone: 208-351-3956 |