Charles Douglas Bryan, - Clinical Social Worker in Blackfoot, ID

Charles Douglas Bryan, is a Social Worker - Clinical based in Blackfoot, Idaho. Charles Douglas Bryan is licensed to practice in Idaho (license number LMSW-27872) and his current practice location is 373 W Highway 39 Ste 1, Blackfoot, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 557-9450.

NPI number for Charles Douglas Bryan is 1689315111 and his current mailing address is 444 Hospital Way Ste 422, Pocatello, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689315111.

Contact Information

Charles Douglas Bryan,
373 W Highway 39 Ste 1,
Blackfoot, ID 83221-5228
(208) 557-9450
(208) 561-7111



Healthcare Provider's Profile

Full NameCharles Douglas Bryan
GenderMale
SpecialitySocial Worker - Clinical
Location373 W Highway 39 Ste 1, Blackfoot, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689315111
  • Provider Enumeration Date: 04/06/2022
  • Last Update Date: 04/06/2022

Medical Identifiers

Medical identifiers for Charles Douglas Bryan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689315111NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical LMSW-27872 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Douglas Bryan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charles Douglas Bryan,
444 Hospital Way Ste 422,
Pocatello, ID 83201-2744

Ph: (208) 557-9450
Charles Douglas Bryan,
373 W Highway 39 Ste 1,
Blackfoot, ID 83221-5228

Ph: (208) 557-9450

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› Verified 4 days ago


Social Worker in Blackfoot, ID

Michele Kelly, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 295 Centennial Street, Blackfoot, ID 83221
Phone: 208-680-4086    
Mrs. Tonie Kay Heath, LCSW26074
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 90 W Judicial St, Blackfoot, ID 83221
Phone: 208-782-2060    Fax: 208-782-0209
Ms. Sandee K Young, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 34 Louella St, Blackfoot, ID 83221
Phone: 208-782-1322    Fax: 208-782-1322
Ben Lazarus Fox, LMSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1309 Camas St, Blackfoot, ID 83221
Phone: 208-782-0675    
Mrs. Anne Marie Preston, L.C.S.W
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 840 Jewell St, Blackfoot, ID 83221
Phone: 208-680-4357    
Mrs. Genevieve Lafaye Thomas, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 199 W Bridge St, Blackfoot, ID 83221
Phone: 208-782-2060    Fax: 208-782-0209

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