JASON KENDALL POPE (LMSW) – Social Worker, NPI 1558869909

JASON KENDALL POPE (LMSW) is a healthcare provider. based in Saint maries, Idaho. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. LMSW-37223 (ID). The NPI Number for JASON KENDALL POPE (LMSW) is 1558869909

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
JASON KENDALL POPE (LMSW)
NPI
1558869909
Phone
(208) 568-0826
Address
4825 ALDER CREEK RD
Enumeration Date
30 January 2018
Last Update Date
30 January 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2086761003
Graduation Year
2009 (17 years ago)
PAC ID
6406378470
Group Practice PAC ID
9537434014
Professional Enrollment ID
I20250319001825
Address ID
ID838142613CO1105XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

633 CLINICAL SOCIAL WORKER in ID

Provider Addresses for JASON KENDALL POPE (LMSW)

  • 4825 ALDER CREEK RD

    SAINT MARIES, ID 838619765

    Phone: (208) 568-0826

    Fax: (208) 665-5795

    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: 2025-03-19

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
I20250319001825IClinical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83861)

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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: 9537434014View full group profile
NameSpecialtyState
-ID
Clinical Social WorkerID
Nurse PractitionerWA

Reviews

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Frequently asked questions

How do I look up JASON KENDALL POPE (LMSW) by NPI?
Use NPI 1558869909 when you need to reference JASON KENDALL POPE (LMSW) in forms, claims, or directories.
Is JASON KENDALL POPE (LMSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JASON KENDALL POPE (LMSW) list a primary specialty?
If you are matching referrals, note Social Worker for JASON KENDALL POPE (LMSW). Clinical services aligned with this taxonomy classification.
What location metadata exists for JASON KENDALL POPE (LMSW)?
The page summarizes Saint Maries, Idaho for JASON KENDALL POPE (LMSW); expand the address list for detail.
How can I contact JASON KENDALL POPE (LMSW)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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