| Care Counseling Clinic, Llc | |
|
1532 Crown Point Pkwy # 977 Cascade ID 83611-7713 | |
| (208) 816-7378 | |
| (208) 509-4030 |
| Full Name | Care Counseling Clinic, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1532 Crown Point Pkwy # 977, Cascade, Idaho |
| Authorized Official Name and Position | Angela Sherwood (OWNER) |
| Authorized Official Contact | 2088167378 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Care Counseling Clinic, Llc Po Box 977 Cascade ID 83611-0977 Ph: (208) 816-7378 | Care Counseling Clinic, Llc 1532 Crown Point Pkwy # 977 Cascade ID 83611-7713 Ph: (208) 816-7378 |
| NPI Number | 1619338571 |
|---|---|
| Provider Enumeration Date | 03/18/2016 |
| Last Update Date | 03/28/2025 |
| Certification Date | 03/28/2025 |
| Medicare PECOS PAC ID | 0840599650 |
|---|---|
| Medicare Enrollment ID | O20160429000221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619338571 | NPI | - | NPPES |
| 20009072 | Other | ID | NORIDIAN HEALTH CARE SOLUTIONS |
| 20009071 | Other | ID | NORIDIAN HEALTH CARE SOLUTIONS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-35598 (Idaho) | Primary |
| Provider Name | Angela Sherwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326462896 PECOS PAC ID: 0042518771 Enrollment ID: I20160413002358 |
| Provider Name | Angela Ellen Dallolio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912390683 PECOS PAC ID: 6305109059 Enrollment ID: I20180411002660 |
All Around Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 166 Summit Dr, Cascade, ID 83611 Phone: 208-274-7540 Fax: 410-824-1482 |