Individual provider Active NPI

Sheila D Hancock, LMSW

  • Social Worker
  • Caldwell, ID
National Provider Identifier
1144656596
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW 33299 Issued in ID
Practice address
524 Cleveland Blvd
Ste 230
Caldwell, ID 83605-4076
Phone
(208) 455-1222
Fax
(208) 455-2559
NPI assigned
Sep 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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 LMSW 33299 ID Primary

Addresses

Primary practice location

524 Cleveland Blvd
Ste 230
Caldwell, ID 83605-4076

Mailing address

524 Cleveland Blvd
Ste 230
Caldwell, ID 83605-4076
Phone (208) 455-1222

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW 33299IDMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1144656596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 CLEVELAND BLVD",
            "address_2": "STE 230",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054076",
            "telephone_number": "208-455-1222",
            "fax_number": "208-455-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 CLEVELAND BLVD",
            "address_2": "STE 230",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054076",
            "telephone_number": "208-455-1222",
            "fax_number": "208-455-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "SHEILA",
        "middle_name": "D",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW 33299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.