NPIMap

Organization Active NPI

Child Family Solutions

  • Clinical Social Worker
  • Rigby, ID
National Provider Identifier
1144238247
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-120 Issued in ID
Legal business name
CHILD FAMILY SOLUTIONS
Practice address
137 S State St
Rigby, ID 83442-1449
Phone
(208) 745-0150
Fax
(208) 745-0177
NPI assigned
Aug 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gary Wade, L.C.S.W.
Title
Clinical Director
Phone
(208) 745-0150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-120 ID Primary

Addresses

Primary practice location

137 S State St
Rigby, ID 83442-1449

Mailing address

137 S State St
Rigby, ID 83442-1449
Phone (208) 745-0150

National Provider Directory

National Provider Directory
Tax ID family
Child Family Solutions3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144238247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 S STATE ST",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834421449",
            "telephone_number": "208-745-0150",
            "fax_number": "208-745-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 S STATE ST",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834421449",
            "telephone_number": "208-745-0150",
            "fax_number": "208-745-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD FAMILY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "208-745-0150",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rigby, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.