Individual provider Active NPI

Madison Jean Hobdy, LMSW

  • Social Worker
  • Boise, ID
National Provider Identifier
1043106065
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1271160 Issued in ID
Practice address
3676 N Harbor LN Ste 100
Boise, ID 83703-6919
Phone
(208) 607-3505
NPI assigned
Jun 16, 2025
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 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 1271160 ID Primary

Addresses

Primary practice location

3676 N Harbor LN Ste 100
Boise, ID 83703-6919

Mailing address

3400 E River Valley St Apt K205
Meridian, ID 83646-2364
Phone (208) 629-7836

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
1271160IDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Free Fallin LLC Social Worker CurrentSince Jun 23, 2025 Accepting new patients

Locations

3676 N Harbor Ln
Ste 100
Boise, ID 83703
Phone (208) 607-3503

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1043106065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 E RIVER VALLEY ST APT K205",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836462364",
            "telephone_number": "208-629-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3676 N HARBOR LN STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837036919",
            "telephone_number": "208-607-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBDY",
        "first_name": "MADISON",
        "middle_name": "JEAN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "1271160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.