Individual provider Active NPI

Jocelyn Mirahcic, LCSW

  • Clinical Social Worker
  • Kuna, ID
National Provider Identifier
1043799653
Registry record updated Oct 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
41192 Issued in ID
Practice address
2517 N Rapid Creek Way
Kuna, ID 83634-1688
Phone
(208) 954-7791
NPI assigned
Aug 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW-37792 ID
Clinical Social Worker 1041C0700X 41192 ID Primary

Addresses

Primary practice location

2517 N Rapid Creek Way
Kuna, ID 83634-1688

Mailing address

2517 N Rapid Creek Way
Kuna, ID 83634-1688
Phone (208) 954-7791

Other practice location 1

2273 S Vista Ave Ste 190
Boise, ID 83705-7341
Phone (208) 343-2737

Other names 1

  • Jocelyn Schelske Former name

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-37792IDMDSocial Worker
41192IDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728777600000",
    "number": "1043799653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 N RAPID CREEK WAY",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836341688",
            "telephone_number": "208-954-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 N RAPID CREEK WAY",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836341688",
            "telephone_number": "208-954-7791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2273 S Vista Ave Ste 190",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837057341",
            "country_code": "US",
            "telephone_number": "208-343-2737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRAHCIC",
        "first_name": "JOCELYN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2024-10-13",
        "certification_date": "2024-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-37792",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "41192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOCELYN",
            "last_name": "SCHELSKE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kuna, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2024; 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.