Mr Michael Chippolla, LCSW ACADC is a
Social Worker - Clinical based in Boise, Idaho. Mr Michael Chippolla is licensed to practice in Idaho (license number LCSW35126) and his current practice location is
4477 W Emerald St, Boise, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 713-5250.
NPI number for Mr Michael Chippolla is 1679969976 and his current mailing address is 4477 W Emerald St, Boise, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679969976.
Healthcare Provider's Profile
| Full Name | Mr Michael Chippolla |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 4477 W Emerald St, Boise, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679969976
- Provider Enumeration Date: 04/13/2015
- Last Update Date: 03/17/2017
Medical Identifiers
Medical identifiers for Mr Michael Chippolla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679969976 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACADC-778 (Idaho) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW35126 (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. Mr Michael Chippolla 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 |
Mr Michael Chippolla, LCSW ACADC 4477 W Emerald St, Boise, ID 83706-2000 Ph: (208) 713-5250 | Mr Michael Chippolla, LCSW ACADC 4477 W Emerald St, Boise, ID 83706-2000 Ph: (208) 713-5250 |
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