Individual provider Active NPI

Willow Serafine, LMSW

  • Social Worker
  • Boise, ID
National Provider Identifier
1114810876
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
9171769 Issued in ID
Practice address
2995 N Cole Rd Ste 270
Boise, ID 83704-5991
Phone
(208) 576-6464
NPI assigned
Jun 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 9171769 ID Primary

Addresses

Primary practice location

2995 N Cole Rd Ste 270
Boise, ID 83704-5991

Mailing address

3662 W Bismark Dr
Meridian, ID 83646-9007
Phone (208) 985-0300

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

LicenseStateTypeSpecialty
9171769IDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Molly and Me Counseling and Training Center CurrentSince Jun 8, 2025 Accepting new patients

Locations

2995 N Cole Rd
Ste 270
Boise, ID 83704
Phone (208) 336-4504

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.

NPI Registry JSON

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1114810876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3662 W BISMARK DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836469007",
            "telephone_number": "208-985-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 N COLE RD STE 270",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045991",
            "telephone_number": "208-576-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERAFINE",
        "first_name": "WILLOW",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "9171769",
            "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 2, 2025; 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.