Matthew Hallowell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-40551 Issued in ID

Practice address

1020 W Main St Ste 100-I
Boise, ID 83702-5789

Phone

(208) 614-0054

Fax

(208) 694-7713

NPI assigned

Jan 23, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1124526249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 N FIVE MILE RD APT 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837135202",
            "telephone_number": "208-614-0054",
            "fax_number": "208-694-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 W MAIN ST STE 100-I",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025789",
            "telephone_number": "208-614-0054",
            "fax_number": "208-694-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLOWELL",
        "first_name": "MATTHEW",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-23",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-40551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124526249",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhett B Hall
• Stanley McDowell Hall, NP
• Thomas Owen Hall, AGACNP
• Zackary Nathan Hall, O.D.
• Randal Hallenberger, LSW
• Michael Allan Hallstrom, PA-C
• Halo Health Homecare, LLC.
• Halo Health Services LLC
• Halo Home Care LLC
• Atticus Halpern

• Clinical Social Worker in Boise, ID
• Providers in Boise, 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 Oct 24, 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.

Verify at the official NPI Registry.