| Janina Dowdy, Lcsw, Pllc | |
|
1801 N Lakes Pl Ste 100 Meridian ID 83646-1906 | |
| (208) 891-2853 | |
| Not Available |
| Full Name | Janina Dowdy, Lcsw, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1801 N Lakes Pl Ste 100, Meridian, Idaho |
| Authorized Official Name and Position | Janina Dowdy (OWNER/PROVIDER) |
| Authorized Official Contact | 2088912853 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Janina Dowdy, Lcsw, Pllc 2534 N Countryside Ave Kuna ID 83634-2503 Ph: (208) 891-2853 | Janina Dowdy, Lcsw, Pllc 1801 N Lakes Pl Ste 100 Meridian ID 83646-1906 Ph: (208) 891-2853 |
| NPI Number | 1104498229 |
|---|---|
| Provider Enumeration Date | 07/16/2021 |
| Last Update Date | 07/16/2021 |
| Certification Date | 07/16/2021 |
| Medicare PECOS PAC ID | 1052715547 |
|---|---|
| Medicare Enrollment ID | O20210805001007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104498229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Janina L Dowdy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851762843 PECOS PAC ID: 4981026630 Enrollment ID: I20200625000960 |
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