Individual provider Active NPI

Debra Street, M.S.W.

  • Social Worker
  • Lewiston, ID
National Provider Identifier
1043203789
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCSW-520 Issued in ID
Practice address
333 Syringa CT
Lewiston, ID 83501-9609
Phone
(208) 791-8287
Fax
(208) 798-8685
NPI assigned
Aug 29, 2005
Last updated
Mar 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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 LCSW-520 ID Primary

Addresses

Primary practice location

333 Syringa CT
Lewiston, ID 83501-9609

Mailing address

333 Syringa CT
Lewiston, ID 83501-9609
Phone (298) 791-8287

Other identifiers 2

IdentifierTypeStateIssuer
X0367OtherIDBLUE CROSS OF IDAHO
000010015964OtherIDBLUESHIELD OF IDAHO

Other names 1

  • Mrs. Deb Street Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040609000143 ID Practitioner - Clinical Social Worker 7012990328 Practice locations: Lewiston, ID

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

0309 2ND St
Lewiston, ID 83501-2163
Phone (208) 746-0137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-520IDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Overcomer Christian Counseling PastSince Dec 21, 2021 Accepting new patients
Dr. Kracke and Associates P a PastSince Jan 1, 2004 Accepting new patients

Organizations & group practices 2

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": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1043203789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SYRINGA CT",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835019609",
            "telephone_number": "298-791-8287",
            "fax_number": "208-798-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SYRINGA CT",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835019609",
            "telephone_number": "208-791-8287",
            "fax_number": "208-798-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREET",
        "first_name": "DEBRA",
        "name_prefix": "Mrs.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-29",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LCSW-520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "X0367",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD OF IDAHO",
            "identifier": "000010015964",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEB",
            "last_name": "STREET",
            "prefix": "MRS.",
            "credential": "M.S.W.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lewiston, ID

Sources for this page

Verify at the official NPI Registry.