Active NPI
Nancy Lea Hausner, LCSW
- Clinical Social Worker
- Boise, ID
National Provider Identifier
1124451067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-36275
- Practice address
- 10112 W Overland Rd
Boise, ID 83709-1428 - Phone
- (208) 780-3900
- Fax
- (208) 375-2882
- NPI assigned
- Aug 14, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-36275 | ID | Primary |
Addresses
Primary practice location
10112 W Overland Rd
Boise, ID 83709-1428
Mailing address
10112 W Overland Rd
Boise, ID 83709-1428
Phone (208) 780-3900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477920270 | Medicaid | ID |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481500800000",
"number": "1124451067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10112 W OVERLAND RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837091428",
"telephone_number": "208-780-3900",
"fax_number": "208-375-2882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10112 W OVERLAND RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837091428",
"telephone_number": "208-780-3900",
"fax_number": "208-375-2882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUSNER",
"first_name": "NANCY",
"middle_name": "LEA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-14",
"last_updated": "2016-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW-36275",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477920270",
"state": "ID"
}
],
"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 Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.