Ms Janadell Skidmore, LMSW, ICADC is a
Social Worker based in Ammon, Idaho. Ms Janadell Skidmore is licensed to practice in Idaho (license number LCSW-37255) and her current practice location is
3456 E 17th St, Suite 190, Ammon, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 552-9174.
NPI number for Ms Janadell Skidmore is 1295935963 and her current mailing address is 452 D St, Idaho Falls, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295935963.
Healthcare Provider's Profile
| Full Name | Ms Janadell Skidmore |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 3456 E 17th St, Ammon, Idaho |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1295935963
- Provider Enumeration Date: 07/20/2007
- Last Update Date: 06/10/2019
Medical Identifiers
Medical identifiers for Ms Janadell Skidmore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295935963 | NPI | - | NPPES |
| 1160007 | Other | ID | CADC |
| LMSW-27972 | Other | ID | LMSW |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1160007 (Idaho) | Secondary |
| 104100000X | Social Worker | LCSW-37255 (Idaho) | Primary |
| 104100000X | Social Worker | LMSW-27972 (Idaho) | Secondary |
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. Ms Janadell Skidmore 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 |
|---|
Ms Janadell Skidmore, LMSW, ICADC
452 D St,
Idaho Falls, ID 83402-3531
Ph: (208) 552-9174 | Ms Janadell Skidmore, LMSW, ICADC
3456 E 17th St, Suite 190,
Ammon, ID 83406-6757
Ph: (208) 552-9174 |
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