Gloria Tague, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LSW-2339 Issued in ID

Practice address

3402 Franklin Rd
Caldwell, ID 83605-6932

Phone

(208) 459-0092

Fax

(208) 454-7714

NPI assigned

May 5, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1023464310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19626 PRESCOTT LN",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836878132",
            "telephone_number": "208-459-0092",
            "fax_number": "208-454-7714"
        },
        {
            "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": "208-459-0092",
            "fax_number": "208-454-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGUE",
        "first_name": "GLORIA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LSW-2339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Sup, DO
• Surgical Group, P.a.
• Brendon James Swenson, D.D.S., M.S.
• Holly Taft, LCSW
• John Christopher Taggart Jr., LPC
• Sherri Lynn Talford
• Stephanie Tally, RN
• Steven Craig Tanner, LPC
• Dominic Douglas Tartini, MS, IP
• Leslee B Tate

• Social Worker in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.