Jessica Chilcott, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-38409 Issued in ID

Practice address

923 16TH Ave S
Nampa, ID 83651-4731

Phone

(208) 639-1514

NPI assigned

Jan 10, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Seed Work Counseling, LLC

  • Community/Behavioral Health Agency
  • Caldwell, ID
  • NPI 1639868474
  NPD Authorized official
• Blue Sky Behavioral Health

  • Clinical Social Worker
  • Nampa, ID
  • NPI 1053199778
  NPD
• Stellar Mental Health & Mediation, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nampa, ID
  • NPI 1902225436
  NPD
• Dr. Paula M. Nordstrom, LLC

  • Clinical Psychologist
  • Nampa, ID
  • NPI 1063783728
  NPD (past)
• North Idaho Children's Mental Health, PLLC.

  • Clinical Social Worker
  • Sandpoint, ID
  • NPI 1083773378
  NPD (past)

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1104248194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2322 POLK ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836052357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 16TH AVE S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836514731",
            "telephone_number": "208-639-1514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2322 Polk St",
            "address_purpose": "LOCATION",
            "city": "Caldwell",
            "state": "ID",
            "postal_code": "836052357",
            "country_code": "US",
            "telephone_number": "208-304-2906",
            "fax_number": "207-779-4620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILCOTT",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-10",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-33100",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW99966",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-38409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Chavez
• Rebecca Lucille Chavez
• Michael A Chenore, MD
• Eliot Cheuk
• Jennifer Lorrien Cheyney
• Children's Dentistry of Idaho, PLLC
• Children's Dentistry PLLC
• Teresa Chinn, RD
• Chiropractic Center
• Chiropractic Difference, PA (The Chiropractic Difference)

• Clinical Social Worker in Nampa, ID
• Providers in Nampa, 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 Apr 18, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.