Active NPI
Elizabeth Marlowe Dummar
- Social Worker
- Rexburg, ID
National Provider Identifier
1104176643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 58 E 1St N
Rexburg, ID 83440-1505 - Phone
- (208) 709-0434
- Fax
- (208) 269-1550
- NPI assigned
- Sep 12, 2012
- 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 | Primary |
Addresses
Primary practice location
58 E 1St N
Rexburg, ID 83440-1505
Mailing address
58 E 1St N
Rexburg, ID 83440-1505
Phone (208) 709-0434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connect With Love LLC | Current | Accepting new patients |
Locations
534 Trejo St
Ste 200I
Rexburg, ID 83440
Phone (208) 709-0434
Organizations & group practices 1
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
- Rexburg, ID
- NPI 1902673866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757635200000",
"number": "1104176643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 E 1ST N",
"city": "REXBURG",
"state": "ID",
"postal_code": "834401505",
"telephone_number": "208-709-0434",
"fax_number": "208-269-1550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 E 1ST N",
"city": "REXBURG",
"state": "ID",
"postal_code": "834401505",
"telephone_number": "208-709-0434",
"fax_number": "208-269-1550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUMMAR",
"first_name": "ELIZABETH",
"middle_name": "MARLOWE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-12",
"last_updated": "2025-09-12",
"certification_date": "2025-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rexburg, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.