Dr Carla Jensen, PHD, LCSW MFT is a
Social Worker - Clinical based in Boise, Idaho. Dr Carla Jensen is licensed to practice in Idaho (license number LCSW-24629) and her current practice location is
198 S Old Quarry Way, Boise, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 914-0877.
NPI number for Dr Carla Jensen is 1023176708 and her current mailing address is 198 S Old Quarry Way, Boise, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023176708.
Healthcare Provider's Profile
| Full Name | Dr Carla Jensen |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 198 S Old Quarry Way, Boise, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1023176708
- Provider Enumeration Date: 12/05/2006
- Last Update Date: 10/03/2023
Medical Identifiers
Medical identifiers for Dr Carla Jensen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023176708 | NPI | - | NPPES |
| L3928 | Other | ID | BLUE CROSS OF IDAHO |
| 000010147740 | Other | ID | REGENCE BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | LMFT-2911 (Idaho) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-24629 (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. Dr Carla Jensen 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 |
|---|
Dr Carla Jensen, PHD, LCSW MFT
198 S Old Quarry Way,
Boise, ID 83709-0541
Ph: (208) 914-0877 | Dr Carla Jensen, PHD, LCSW MFT
198 S Old Quarry Way,
Boise, ID 83709-0541
Ph: (208) 914-0877 |
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