Active NPI
Caroline C Caudill
- Social Worker
- Boise, ID
National Provider Identifier
1124724182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2271963
- Practice address
- 777 N Raymond St
Boise, ID 83704-9251 - Phone
- (208) 514-2500
- Fax
- (208) 375-2217
- NPI assigned
- Feb 1, 2023
- Last updated
- Feb 16, 2026
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 2271963 | ID | Primary |
Addresses
Primary practice location
777 N Raymond St
Boise, ID 83704-9251
Mailing address
777 N Raymond St
Boise, ID 83704-9251
Phone (208) 514-2500
Other practice location 1
771 E Ranch Dr
Eagle, ID 83616-5117
Phone (321) 243-1842
Other practice location 2
2275 S Eagle Rd Ste 120
Meridian, ID 83642-2620
Phone (208) 514-2520
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2271963 | ID | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771200000000",
"number": "1124724182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 N RAYMOND ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837049251",
"telephone_number": "208-514-2500",
"fax_number": "208-375-2217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 N RAYMOND ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837049251",
"telephone_number": "208-514-2500",
"fax_number": "208-375-2217"
}
],
"practiceLocations": [
{
"address_1": "771 E Ranch Dr",
"address_purpose": "LOCATION",
"city": "Eagle",
"state": "ID",
"postal_code": "836165117",
"country_code": "US",
"telephone_number": "321-243-1842",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2275 S Eagle Rd Ste 120",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "ID",
"postal_code": "836422620",
"country_code": "US",
"telephone_number": "208-514-2520",
"fax_number": "208-375-2217",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAUDILL",
"first_name": "CAROLINE",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-01",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "2271963",
"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 Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.