Active NPI
Brenda R. Fulton, LMSW
- Social Worker
- Nampa, ID
National Provider Identifier
1023870359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW-44566
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-44566 | ID | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinical Social Worker
- Nampa, ID
- NPI 1043515133
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
- Nathan Scott Fuhriman, LPC
- Full Circle Health, Inc.
- Ciarra N Fuller, LCSW
- Michael Jay Fuller, M.ED, MSW
- Samuel J Fuller, MS, LPC
- Functional Medicine Center of Boise LLC
- Patricia J Funkhouser, DNP
- Melissa E Funston, LPC, CADC
- Aaron Gabrielsen, HIS
- Gaertner Chiropractic & Integrated Medicine Clinic PA
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.