Individual provider Active NPI

Brenda R. Fulton, LMSW

  • Social Worker
  • Nampa, ID
National Provider Identifier
1023870359
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW-44566 Issued in ID
Practice address
104 9TH Ave S Ste A6
Nampa, ID 83651-3809
Phone
(208) 960-0365
NPI assigned
Jan 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW-44566 ID Primary

Addresses

Primary practice location

104 9TH Ave S Ste A6
Nampa, ID 83651-3809

Mailing address

750 S Weston Creek Loop
Nampa, ID 83686-5655
Phone (208) 992-6530

Other practice location 1

1224 1st St S Ste 300
Nampa, ID 83651-3963
Phone (208) 475-5710

Other practice location 2

1305 3rd St S
Nampa, ID 83651-3903
Phone (208) 475-5700

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

LicenseStateTypeSpecialty
LMSW-44566IDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Strive Counseling Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1023870359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 S WESTON CREEK LOOP",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836865655",
            "telephone_number": "208-992-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 9TH AVE S STE A6",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513809",
            "telephone_number": "208-960-0365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1224 1st St S Ste 300",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836513963",
            "country_code": "US",
            "telephone_number": "208-475-5710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 3rd St S",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836513903",
            "country_code": "US",
            "telephone_number": "208-475-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULTON",
        "first_name": "BRENDA",
        "middle_name": "R.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-23",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-44566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.