Active NPI
Tara Byrne, LMSW
- Clinical Social Worker
- Caldwell, ID
National Provider Identifier
1013665884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LMSW-39837
- Practice address
- 3402 Franklin Rd
Caldwell, ID 83605-6932 - Phone
- (208) 608-8839
- NPI assigned
- Mar 11, 2022
- Last updated
- Mar 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LMSW-39837 | ID | Primary |
Addresses
Primary practice location
3402 Franklin Rd
Caldwell, ID 83605-6932
Mailing address
3402 Franklin Rd
Caldwell, ID 83605-6932
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-39837 | ID | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646956800000",
"number": "1013665884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3402 FRANKLIN RD",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836056932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3402 FRANKLIN RD",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836056932",
"telephone_number": "208-608-8839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRNE",
"first_name": "TARA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-11",
"last_updated": "2022-03-11",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LMSW-39837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caldwell, ID
- Eric Ray Burfeind, ATC
- P. Roman Burk, D.P.M.
- Isaac K Burton, DO
- Anthony Frederick Bushnell, PA-C
- Lance Joseph Buxton, N.P.
- Caldwell Counseling Associates, PLLC
- Caldwell Internal Medicine Professional Association
- Caldwell of Cascadia, LLC (Caldwell Care of Cascadia)
- Caldwell Orthodontic Associates
- Caldwell Psychological Services P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.