Noe Alonzo, LCSW
Individual provider Active NPI Clinical Social Worker · Twin Falls, ID
NPI 1831133461 · NPPES record last updated Sep 8, 2022
Key facts
- NPI
- 1831133461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW-41680 (ID)
- Practice address
- 826 Eastland Dr
Twin Falls, ID 83301-6858 - Phone
- (208) 737-6715
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Interoperability endpoints
- noe.alonzo.p1@direct.fhsid.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 32270 | TX | |
| Clinical Social Worker | 1041C0700X | LCSW-41680 | ID | Yes |
Addresses
Primary practice location
826 Eastland Dr
Twin Falls, ID 83301-6858
Mailing address
826 Eastland Dr
Twin Falls, ID 83301-6858
Phone (208) 737-6715
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 063892602 | Medicaid | TX | |
| 1831133461 | Medicaid | ID |
Other providers in Twin Falls, ID
- Allied Portable X-Ray Inc
- Allied Portable Xray Inc
- Debra Allred
- Tavia Jade Allred
- Kimberlee Anne Almon
- Katherine Jean Alper
- Doaa Alzahraa Alsoudani
- Altis Counseling Associates, LLC
- Jessica Alvarez
- Marianna Alves
All providers in Twin Falls, 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 Sep 8, 2022. 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.