Christiane E. Magera, LCSW
Individual provider Active NPI Clinical Social Worker · Athol, ID
NPI 1154580892 · NPPES record last updated Jan 19, 2021
Key facts
- NPI
- 1154580892
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW-31260 (ID)
- Practice address
- 7 W Remington Rd
Athol, ID 83801-8506 - Phone
- (208) 819-7787
- NPI assigned
- Jun 6, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-31260 | ID | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diversified Social Services, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-31260 | ID | Yes |
Addresses
Primary practice location
7 W Remington Rd
Athol, ID 83801-8506
Mailing address
7 W Remington Rd
Athol, ID 83801-8506
Phone (208) 819-7787
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- Ryan James Macdonald
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- Lynne Kaulback Orange
- Hayden Kevin Sharp
All providers in Athol, ID · Clinical Social Worker in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.