Brian Raymond, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 32132 Issued in ID

Practice address

10022 W Dylan CT
Star, ID 83669-5643

Phone

(208) 571-2723

Fax

(208) 348-5573

NPI assigned

Sep 4, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Meridian Advanced Psychiatry , LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Meridan, ID
  • NPI 1609412683
  Medicare reassignment NPD
• Integrated Health Solutions, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Star, ID
  • NPI 1437917390
  NPD Authorized official
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  ID

  Medicare reassignment

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471737600000",
    "number": "1043468903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10022 W DYLAN CT",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836695643",
            "telephone_number": "208-571-2723",
            "fax_number": "208-348-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10022 W DYLAN CT",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836695643",
            "telephone_number": "208-571-2723",
            "fax_number": "208-348-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-04",
        "last_updated": "2016-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW 32132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12403159",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002920900",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ami Laura Owen, LMFT
• Owyhee Family Medicine PLLC
• Marian Therese Peloquin, MS, CCC-SLP
• Dell Rocco Pike, DPT
• Melanie Pilot
• Ridleys Family Markets Inc
• Jakob Rodgers, DDS
• Linda K Rogers-Perkins, LCSW
• Vanessa Joana Rojas-Bautista, R.D.N.
• Krysia Kristine Rousseau, DPT

• Clinical Social Worker in Star, ID
• Providers in Star, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.