| A Journey To A New Beginning | |
| 214 E Center St Ste 40 Pocatello ID 83201-6372 | |
| (208) 545-7966 | |
| (208) 241-6215 | 
| Full Name | A Journey To A New Beginning | 
|---|---|
| Speciality | Social Worker | 
| Location | 214 E Center St Ste 40, Pocatello, Idaho | 
| Authorized Official Name and Position | Deanna S Smith (OWNER) | 
| Authorized Official Contact | 2082417681 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| A Journey To A New Beginning 214 E Center St Ste 40 Pocatello ID 83201-6372 Ph: (208) 545-7966 | A Journey To A New Beginning 214 E Center St Ste 40 Pocatello ID 83201-6372 Ph: (208) 545-7966 | 
| NPI Number | 1598405797 | 
|---|---|
| Provider Enumeration Date | 03/29/2022 | 
| Last Update Date | 03/29/2022 | 
| Certification Date | 03/29/2022 | 
| Medicare PECOS PAC ID | 3476931270 | 
|---|---|
| Medicare Enrollment ID | O20220607002783 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1598405797 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary | 
| Provider Name | Deanna S Smith | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1093177719 PECOS PAC ID: 1658709092 Enrollment ID: I20200317002074 | 
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