DEBORAH L WOODALL (LCSW) – Clinical Social Worker, NPI 1215166038

DEBORAH L WOODALL (LCSW) is a healthcare provider. based in Nampa, Idaho. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. LCSW-29117 (ID). The NPI Number for DEBORAH L WOODALL (LCSW) is 1215166038

Main info

Female
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
DEBORAH L WOODALL (LCSW)
NPI
1215166038
Phone
(208) 484-1855
Address
1219 4TH ST S
Enumeration Date
14 July 2009
Last Update Date
14 July 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083432737
Graduation Year
2002 (24 years ago)
PAC ID
4284954579
Group Practice PAC ID
8729472238
Professional Enrollment ID
I20150528001299
Address ID
ID837057341BO2273XAVEX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

633 CLINICAL SOCIAL WORKER in ID

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Provider Addresses for DEBORAH L WOODALL (LCSW)

  • 1219, 4th Street South, Nampa, Canyon County, Idaho, 83651, United States

    NAMPA, ID 836514222

    Phone: (208) 484-1855

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-05-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150528001299IClinical Social WorkerIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes16819$0
90791Psychiatric diagnostic evaluation1717$0
View full utilization report →

Insurance plans in this area (ZIP 83651)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729472238View full group profile
NameSpecialtyState
Nurse PractitionerID
Mental Health CounselorID
Mental Health CounselorID
Mental Health CounselorID
Mental Health CounselorID
Mental Health CounselorID

Reviews

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Frequently asked questions

What federal number belongs to DEBORAH L WOODALL (LCSW)?
The federal identifier for DEBORAH L WOODALL (LCSW) is NPI 1215166038.
Is DEBORAH L WOODALL (LCSW) currently active in the NPI registry?
CMS-published data lists DEBORAH L WOODALL (LCSW) as an active registrant.
What kind of provider is DEBORAH L WOODALL (LCSW)?
The page reflects Clinical Social Worker for DEBORAH L WOODALL (LCSW). Clinical services aligned with this taxonomy classification.
What location shows for DEBORAH L WOODALL (LCSW)?
We surface Nampa, Idaho for DEBORAH L WOODALL (LCSW) based on available NPPES addresses.
How can I contact DEBORAH L WOODALL (LCSW)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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