Individual provider Active NPI

Annie M Stokes, LMSW

  • Social Worker
  • Salmon, ID
National Provider Identifier
1144052085
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
5961566 Issued in ID
Practice address
1301 Main St Ste 3B
Salmon, ID 83467-4452
Phone
(208) 756-2927
Fax
(208) 756-1518
NPI assigned
Aug 19, 2024
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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 5961566 ID Primary

Addresses

Primary practice location

1301 Main St Ste 3B
Salmon, ID 83467-4452

Mailing address

1380 Benton St
Idaho Falls, ID 83401-4254
Phone (208) 523-2490

Other practice location 1

PO Box 279
Challis, ID 83226-0279
Phone (208) 879-5923

Other names 1

  • Annie M Stephens Former name

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
5961566IDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lemhi Valley Social Services, Inc. Social Worker CurrentSince Aug 25, 2024 Accepting new patients
Lemhi Valley Social Services, Inc. PastSince Aug 25, 2024 Accepting new patients

Locations

1380 Benton St
Idaho Falls, ID 83401
Phone (208) 403-3472

1301 Main St
Ste 3B
Salmon, ID 83467
Phone (208) 756-2927

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1144052085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 BENTON ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014254",
            "telephone_number": "208-523-2490",
            "fax_number": "208-522-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MAIN ST STE 3B",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834674452",
            "telephone_number": "208-756-2927",
            "fax_number": "208-756-1518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 279",
            "address_purpose": "LOCATION",
            "city": "Challis",
            "state": "ID",
            "postal_code": "832260279",
            "country_code": "US",
            "telephone_number": "208-879-5923",
            "fax_number": "208-879-6059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOKES",
        "first_name": "ANNIE",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "5961566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNIE",
            "last_name": "STEPHENS",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salmon, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.