Individual provider Active NPI

Megan L Stoneberg, LCSW

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1154733269
Registry record updated Jun 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW32657 Issued in ID
Practice address
1843 S Broadway Ave Ste 205
Boise, ID 83706-3862
Phone
(208) 949-8570
NPI assigned
May 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 32657 ID
Clinical Social Worker 1041C0700X LCSW32657 ID Primary

Addresses

Primary practice location

1843 S Broadway Ave Ste 205
Boise, ID 83706-3862

Mailing address

1843 S Broadway Ave Ste 205
Boise, ID 83706-3862
Phone (208) 949-8570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2019 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32657IDMDClinical Social Worker
LCSW32657IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Neurobehavioral Health PLLC PastSince Jun 1, 2017 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686960000000",
    "number": "1154733269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1843 S BROADWAY AVE STE 205",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063862",
            "telephone_number": "208-949-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1843 S BROADWAY AVE STE 205",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063862",
            "telephone_number": "208-949-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONEBERG",
        "first_name": "MEGAN",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2023-06-17",
        "certification_date": "2023-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "32657",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW32657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.