Active NPI
Rebecca Lee Wilsey, LSW
- Social Worker
- Boise, ID
National Provider Identifier
1104053230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LSW-29817
- Practice address
- 740 Warm Springs Ave
Boise, ID 83712-6420 - Phone
- (208) 343-7797
- Fax
- (208) 343-0064
- NPI assigned
- Jun 16, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LSW-29817 | ID | Primary |
Addresses
Primary practice location
740 Warm Springs Ave
Boise, ID 83712-6420
Mailing address
6104 W Everett St
Boise, ID 83704-7701
Phone (208) 409-2751
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
| License | State | Type | Specialty |
|---|---|---|---|
| LSW-29817 | ID | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Home Society of Idaho | Past | Accepting new patients | |
| Children'S Home Society of Idaho | Past | 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 and National Provider Directory roles.
-
- Mental Health Counselor
- Boise, ID
- NPI 1194834010
-
- General Practice Physician
- Boise, ID
- NPI 1285971416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245110400000",
"number": "1104053230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6104 W EVERETT ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837047701",
"telephone_number": "208-409-2751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 WARM SPRINGS AVE",
"city": "BOISE",
"state": "ID",
"postal_code": "837126420",
"telephone_number": "208-343-7797",
"fax_number": "208-343-0064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSEY",
"first_name": "REBECCA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-16",
"last_updated": "2009-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LSW-29817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.