Individual provider Active NPI

Jennifer M Graves, LMSW

  • Social Worker
  • Nampa, ID
National Provider Identifier
1164380770
Registry record updated Sep 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
9371792 Issued in ID
Practice address
3770 E Amity Ave Ste 106
Nampa, ID 83687-1194
Phone
(208) 750-8235
NPI assigned
Jan 13, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2026

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 9371792 ID Primary

Addresses

Primary practice location

3770 E Amity Ave Ste 106
Nampa, ID 83687-1194

Mailing address

10115 Cherry LN Apt 202
Nampa, ID 83687-1081
Phone (208) 614-2911

Other practice location 1

10115 Cherry Ln Apt 202
Nampa, ID 83687-1081
Phone (208) 614-2911

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9371792IDMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789862400000",
    "number": "1164380770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10115 CHERRY LN APT 202",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836871081",
            "telephone_number": "208-614-2911",
            "fax_number": "208-466-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 E AMITY AVE STE 106",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836871194",
            "telephone_number": "208-750-8235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10115 Cherry Ln Apt 202",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836871081",
            "country_code": "US",
            "telephone_number": "208-614-2911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-09-20",
        "certification_date": "2026-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "9371792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2026; 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.