Unknown Individual – Social Worker, NPI 1679079313
Social Worker
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
5985, West State Street, Boise, Ada County, Idaho, 83703, United States
BOISE, ID 837033039
Phone: (208) 853-0071
Fax: (208) 853-9422
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)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83703)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | ID | |
| - | ID | |
| - | ID | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| Nurse Practitioner | ID | |
| - | ID | |
| Physician Assistant | ID | |
| Nurse Practitioner | ID |
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