Individual
BRENDA TENNANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
820 S LATAH ST STE 106, BOISE, ID 83705-2255
(208) 572-2883
Mailing address
12 CONDOR CIR, BOISE, ID 83716-3360
(208) 870-4274
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW32590
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194044149
—
ID
Enumeration date
05/28/2010
Last updated
05/18/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us