RONALD KYLE SEBREROS I LCSW - NPI 1386901627 - Social Worker in Idaho Falls, ID

Q: What is the provider's specialty?

The provider's specialty is Social Worker with taxonomy code 104100000X.

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About Ronald Kyle Sebreros I Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RONALD KYLE SEBREROS I LCSW (NPI 1386901627) is an individual social worker in Idaho Falls, Idaho, licensed in Idaho (LCSW-34256) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1386901627

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameRONALD KYLE SEBREROS ICredential: LCSW

Location Address2100 ALAN STIdaho Falls, ID 83404-5801

Mailing Address2100 Alan StIdaho Falls, ID 83404-5801 · (208) 528-7655 · Fax (208) 542-9390

Phone(208) 528-7655

Fax(208) 524-9390

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateApril 11, 2012

Last NPPES UpdateApril 10, 2024

NPPES CertifiedApril 10, 2024

✔ NPI 1386901627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in ID · LCSW-34256

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

2100 ALAN ST, Idaho Falls, ID 83404

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ronald Kyle Sebreros I Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062738792

PECOS Enrollment IDI20150224000703

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.