Becky Jean Wolery, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW-28988 Issued in ID

Practice address

910 NW 16TH St Ste 101
Fruitland, ID 83619

Phone

(208) 452-8000

Fax

(208) 452-8055

NPI assigned

Mar 25, 2009

Last updated

Jul 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Insight Counseling & Therapy

  • Clinical Social Worker
  • Payette, ID
  • NPI 1104350511
  NPD Authorized official
• Insight Matters, Inc

  • Mental Health Counselor
  • Payette, ID
  • NPI 1487350641

  Social Worker

  NPD Authorized official

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1154563948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 E. GOLDSTONE DR.",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-452-8000",
            "fax_number": "208-452-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 NW 16TH ST STE 101",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "83619",
            "telephone_number": "208-452-8000",
            "fax_number": "208-452-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLERY",
        "first_name": "BECKY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-25",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-28988",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-30777",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lana M Usilton, C.N.
• Melissa Waite, FNP-C
• Joseph Weatherspoon, PHARMD
• Dallin Scott Wilkes, DPT
• Thad W Wilkey, PA
• Ryan Charles Zimmerly, PHARM.D

• Social Worker in Fruitland, ID
• Providers in Fruitland, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.