Individual provider Active NPI

Emily Anne Alvord

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1174493241
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-43206 Issued in ID
Practice address
1721 S Shoshone St
Boise, ID 83705-3053
Phone
(208) 859-4202
NPI assigned
Nov 5, 2025
Last updated
Nov 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-43206 ID Primary

Addresses

Primary practice location

1721 S Shoshone St
Boise, ID 83705-3053

Mailing address

1721 S Shoshone St
Boise, ID 83705-3053
Phone (208) 859-4202

Other practice location 1

620 N 6th St
Bellevue, ID 83313-5174
Phone (208) 859-4202

Other practice location 2

909 E Reserve St
Boise, ID 83712-6508
Phone (208) 859-4202

Other practice location 3

8211 W Ustick Rd
Boise, ID 83704-5756
Phone (208) 859-4202

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
I20260106002119 ID Practitioner - Clinical Social Worker 2567958952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Directors of Idaho PLLCGroup PAC ID 1951628544, 19 clinicians

Practice addresses (Care Compare)

900 N Happy Valley Rd
Nampa, ID 83687-8596
Phone (208) 401-9639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-43206IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Directors of Idaho PLLC CurrentSince Jan 2, 2026 Accepting new patients

Locations

620 N 6th St
Bellevue, ID 83313
Phone (208) 788-7180

8211 W Ustick Rd
Boise, ID 83704
Phone (208) 375-3700

909 E Reserve St
Boise, ID 83712
Phone (208) 343-7717

900 N Happy Valley Rd
Nampa, ID 83687
Phone (208) 206-0261

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1174493241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 S SHOSHONE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837053053",
            "telephone_number": "208-859-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 S SHOSHONE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837053053",
            "telephone_number": "208-859-4202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 N 6th St",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "ID",
            "postal_code": "833135174",
            "country_code": "US",
            "telephone_number": "208-859-4202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "909 E Reserve St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837126508",
            "country_code": "US",
            "telephone_number": "208-859-4202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8211 W Ustick Rd",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837045756",
            "country_code": "US",
            "telephone_number": "208-859-4202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVORD",
        "first_name": "EMILY",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-43206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.