Individual provider Active NPI

Alison Nicole Rider, LCSW

  • Clinical Social Worker
  • Pocatello, ID
National Provider Identifier
1053989947
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-45390 Issued in ID
Practice address
151 N 3Rd Ave Ste 330
Pocatello, ID 83201-6369
Phone
(208) 242-3771
NPI assigned
Jun 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-45390 ID Primary

Addresses

Primary practice location

151 N 3Rd Ave Ste 330
Pocatello, ID 83201-6369

Mailing address

346 W Lovejoy St Apt 7
Pocatello, ID 83204-3462
Phone (208) 251-4776

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
I20250206003015 ID Practitioner - Clinical Social Worker 3870023757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gateway Counseling IncorporatedGroup PAC ID 3870776610, 5 clinicians

Practice addresses (Care Compare)

151 N 3Rd Ave
Suite 330
Pocatello, ID 83201-6369
Phone (208) 242-3771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-45390IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Counseling Incorporated CurrentSince Jan 28, 2025 Accepting new patients
Hope Tree Inc PastSince Jun 1, 2021 Accepting new patients

Locations

151 N 3rd Ave
Ste 330
Pocatello, ID 83201
Phone (208) 242-3771

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1053989947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 W LOVEJOY ST APT 7",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043462",
            "telephone_number": "208-251-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N 3RD AVE STE 330",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016369",
            "telephone_number": "208-242-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDER",
        "first_name": "ALISON",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-45390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.