Gay M Miremont, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW1397 Issued in ID

Practice address

611 Clinic Rd
Challis, ID 83226-4824

Phone

(208) 879-4351

NPI assigned

Sep 26, 2013

Last updated

Jun 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Gay Caballero Former name

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, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Challis Area Health Center IncorporatedGroup PAC ID 2769779776, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gay.miremont.1@13547.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/13547/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Challis Area Health Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Challis, ID
  • NPI 1013387877
  Medicare reassignment Care Compare group
• Challis Area Health Center

  • Medical Physician Assistant
  • Challis, ID
  • NPI 1538251996
  NPD (past)
• St Lukes Wood River Medical Center LTD

  dba St Lukes Woodriver Swingbeds

  • Medicare Defined Swing Bed Hospital Unit
  • Ketchum, ID
  • NPI 1275662546
  NPD (past)

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1134556814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 980",
            "city": "CHALLIS",
            "state": "ID",
            "postal_code": "832260980",
            "telephone_number": "208-879-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 CLINIC RD",
            "city": "CHALLIS",
            "state": "ID",
            "postal_code": "832264824",
            "telephone_number": "208-879-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIREMONT",
        "first_name": "GAY",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW1397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAY",
            "last_name": "CABALLERO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kenneth Henry Hyatt, PA-C
• Patricia Hyatt, P.T.
• Idaho State University
• Jenna L Jensen, FNP-C
• Thomas V McGowan, DMD
• Grace Suyanti Muliawan, PA-C
• North Custer Hospital District
• Patricia Hyatt PT LLC (Garden Creek Physical Therapy)
• Petrie Family Enterprises, PC (White Cloud Wellness)
• Breeann Marie Petrie, PA-C

• Clinical Social Worker in Challis, ID
• Providers in Challis, 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 Jun 21, 2023; 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.