Individual provider Active NPI

Stephanie Kay Rothrock, LCSW

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1144744962
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-44589 Issued in ID
Practice address
148 S Cole Rd
Boise, ID 83709-0932
Phone
(208) 683-8320
Fax
(208) 969-8380
NPI assigned
Aug 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-44589 ID Primary
Mental Health Counselor 101YM0800X
Social Worker 104100000X LMSW-44589 ID

Addresses

Primary practice location

148 S Cole Rd
Boise, ID 83709-0932

Mailing address

148 S Cole Rd
Boise, ID 83709-0932
Phone (208) 683-8320

Other practice location 1

411 Main Street Unit G
Kamiah, ID 83536
Phone (208) 683-8320

Other practice location 2

509 Trolley Way
Suite 104
Middleton, ID 83644-6046
Phone (208) 683-8320

Other practice location 3

213 N Main St Ste 1B
Moscow, ID 83843-2700
Phone (208) 683-8320

Other practice location 4

496 Shoup Ave W Ste F
Twin Falls, ID 83301-5043
Phone (208) 683-8320

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240716004518 ID Practitioner - Clinical Social Worker 6103361969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Body and Mind Health Services LLCGroup PAC ID 5193137727, 11 clinicians

Practice addresses (Care Compare)

148 S Cole Rd
Boise, ID 83709-0932
Phone (208) 683-8320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-44589IDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A Body & Mind Health Services, LLC Mental Health CurrentSince May 3, 2024 Accepting new patients
A Body & Mind Health Services, LLC Mental Health CurrentSince May 3, 2024 Accepting new patients

Locations

148 S Cole Rd
Boise, ID 83709
Phone (208) 683-8320

509 S Middleton Rd
Ste 104
Middleton, ID 83644
Phone (208) 683-8320

509 S Middleton Rd
Middleton, ID 83644
Phone (208) 683-8320

213 N Main St
Ste 1B
Moscow, ID 83843
Phone (208) 683-8320

496 Shoup Ave W
Ste F
Twin Falls, ID 83301
Phone (208) 683-8320

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1144744962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 S COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837090932",
            "telephone_number": "208-683-8320",
            "fax_number": "208-969-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 S COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837090932",
            "telephone_number": "208-683-8320",
            "fax_number": "208-969-8380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Main Street Unit G",
            "address_purpose": "LOCATION",
            "city": "Kamiah",
            "state": "ID",
            "postal_code": "83536",
            "country_code": "US",
            "telephone_number": "208-683-8320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "509 Trolley Way",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Middleton",
            "state": "ID",
            "postal_code": "836446046",
            "country_code": "US",
            "telephone_number": "208-683-8320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "213 N Main St Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Moscow",
            "state": "ID",
            "postal_code": "838432700",
            "country_code": "US",
            "telephone_number": "208-683-8320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "496 Shoup Ave W Ste F",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833015043",
            "country_code": "US",
            "telephone_number": "208-683-8320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTHROCK",
        "first_name": "STEPHANIE",
        "middle_name": "KAY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-44589",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-44589",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.