Active NPI
Jamie Leann Perry, LCSW
- Clinical Social Worker
- Caldwell, ID
National Provider Identifier
1144699307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8851764
- Practice address
- 4605 Enterprise Way Ste 105
Caldwell, ID 83605-6889 - Phone
- (208) 614-4122
- NPI assigned
- Sep 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW 35174 | ID | |
| Clinical Social Worker | 1041C0700X | 8851764 | ID | Primary |
Addresses
Primary practice location
4605 Enterprise Way Ste 105
Caldwell, ID 83605-6889
Mailing address
1509 Fairview Ave
Caldwell, ID 83605-4609
Phone (208) 936-8843
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250117003033 | ID | Practitioner - Clinical Social Worker | 7315476447 | Practice locations: Caldwell, ID |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4605 Enterprise Way
Suite 105
Caldwell, ID 83605-6889
Phone (208) 614-4122
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW 35174 | ID | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspen Ministries Syringa Wellness | Current | Accepting new patients |
Locations
1609 S Kimball Ave
#202
Caldwell, ID 83605
Phone (208) 899-8101
1609 S Kimball Ave
Ste 200
Caldwell, ID 83605
Phone (208) 899-8101
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Caldwell, ID
- NPI 1114389517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1144699307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 FAIRVIEW AVE",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836054609",
"telephone_number": "208-936-8843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4605 ENTERPRISE WAY STE 105",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836056889",
"telephone_number": "208-614-4122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "JAMIE",
"middle_name": "LEANN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-17",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LMSW 35174",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "8851764",
"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 Apr 30, 2025; 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.