Jacqueline A Shafer, LCSW - Clinical Social Worker in Mountain Home Afb, ID

Jacqueline A Shafer, LCSW is a Social Worker - Clinical based in Mountain Home Afb, Idaho. Jacqueline A Shafer is licensed to practice in Idaho (license number LCSW40964) and her current practice location is 90 Hope Dr, Mountain Home Afb, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 828-7531.

NPI number for Jacqueline A Shafer is 1053819300 and her current mailing address is 230 S 13th East Street, Mountain Home, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053819300.

Contact Information

Jacqueline A Shafer, LCSW
90 Hope Dr,
Mountain Home Afb, ID 83648-1057
(208) 828-7531
Not Available



Healthcare Provider's Profile

Full NameJacqueline A Shafer
GenderFemale
SpecialitySocial Worker - Clinical
Location90 Hope Dr, Mountain Home Afb, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053819300
  • Provider Enumeration Date: 01/31/2018
  • Last Update Date: 06/29/2023

Medical Identifiers

Medical identifiers for Jacqueline A Shafer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053819300NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical LCSW40964 (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. Jacqueline A Shafer 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
Jacqueline A Shafer, LCSW
230 S 13th East Street,
Mountain Home, ID 83647

Ph: (707) 295-6223
Jacqueline A Shafer, LCSW
90 Hope Dr,
Mountain Home Afb, ID 83648-1057

Ph: (208) 828-7531

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› Verified 9 days ago


Social Worker in Mountain Home Afb, ID

Dr. Cleo Patrick, PHD, LCSW, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 366 Gunfighter Ave # 366mdg, Mountain Home Afb, ID 83648
Phone: 208-828-7655    
Roberto Olvera, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648
Phone: 208-828-7520    
Debra E Hayton, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648
Phone: 208-828-7505    
Susanna Gunkel, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 90 Hope Dr, Mountain Home Afb, ID 83648
Phone: 208-828-7580    
Thomas Madden,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 90 Hope Dr, Mountain Home Afb, ID 83648
Phone: 208-828-7520    
Kellie King, CSW-INTERN
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648
Phone: 208-828-7580    

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