Angie Zabala, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-8861102 Issued in ID

Practice address

2271 Overland Ave Ste 5a
Burley, ID 83318-2957

Phone

(208) 260-1883

Fax

(208) 837-8322

NPI assigned

Apr 18, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mini Cassia Counseling

  • Mental Health Counselor
  • Burley, ID
  • NPI 1629984265
  NPD (past) Authorized official

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787961600000",
    "number": "1043873789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 492",
            "city": "PAUL",
            "state": "ID",
            "postal_code": "833470492",
            "telephone_number": "208-260-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2271 OVERLAND AVE STE 5A",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182957",
            "telephone_number": "208-260-1883",
            "fax_number": "208-837-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABALA",
        "first_name": "ANGIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-18",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-38280",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-8861102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Jane Wright, LPC
• Wayne Jack Wright, D.D.S.
• Camille Jane Wynn, SLP
• Cheryl Lynn Young
• Raulan Young, MPT
• Jack G. Zarybnisky, O.D.
• Brady Michael Ziegler

• Clinical Social Worker in Burley, ID
• Providers in Burley, 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 29, 2026; 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.