Philip R Sheridan, LCSW is a
Social Worker - Clinical based in Bellevue, Idaho. Philip R Sheridan is licensed to practice in Idaho (license number LCSW-7671154) and his current practice location is
161 Cowcatcher Loop, Bellevue, Idaho. He can be reached at his office (for appointments etc.) via phone at
(801) 884-3809.
NPI number for Philip R Sheridan is 1619993581 and his current mailing address is 161 Cowcatcher Loop, Bellevue, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619993581.
Healthcare Provider's Profile
| Full Name | Philip R Sheridan |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 161 Cowcatcher Loop, Bellevue, Idaho |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1619993581
- Provider Enumeration Date: 07/14/2006
- Last Update Date: 08/29/2025
Medical Identifiers
Medical identifiers for Philip R Sheridan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619993581 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | LCSW-7671154 (Idaho) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW24911 (Idaho) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-7671154 (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. Philip R Sheridan 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 |
|---|
Philip R Sheridan, LCSW
161 Cowcatcher Loop,
Bellevue, ID 83313-5289
Ph: () - | Philip R Sheridan, LCSW
161 Cowcatcher Loop,
Bellevue, ID 83313-5289
Ph: (801) 884-3809 |
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