Beth Winegar, LCSW

Individual provider Active NPI Clinical Social Worker · Saint Anthony, ID

NPI 1225397102 · NPPES record last updated Aug 28, 2024

Key facts

NPI
1225397102
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LCSW-36569 (ID)
Practice address
357 N 1587 E
Saint Anthony, ID 83445-5109
Phone
(208) 709-0167
NPI assigned
May 11, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LCSW-36569IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ostermiller Counseling Services Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-36569 ID Yes

Addresses

Primary practice location

357 N 1587 E
Saint Anthony, ID 83445-5109

Mailing address

357 N 1587 E
Saint Anthony, ID 83445-5109
Phone (208) 624-0167

Other providers in Saint Anthony, ID

All providers in Saint Anthony, ID · Clinical Social Worker in Idaho

Sources for this page

Verify at the official NPI Registry.