Active NPI
Ursula A Warden, LCSW
- Clinical Social Worker
- Meridian, ID
National Provider Identifier
1174872477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 31480
- Practice address
- 403 W Cherry LN
Meridian, ID 83642-1610 - Phone
- (208) 887-1911
- Fax
- (208) 895-8049
- NPI assigned
- Aug 31, 2012
- Last updated
- Aug 31, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 31480 | ID | Primary |
Addresses
Primary practice location
403 W Cherry LN
Meridian, ID 83642-1610
Mailing address
2263 E Chateau Dr
Meridian, ID 83646
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31480 | ID | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star Counseling Services LLC | Clinical | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Star, ID
- NPI 1609343649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346371200000",
"number": "1174872477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2263 E CHATEAU DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "83646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 W CHERRY LN",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421610",
"telephone_number": "208-887-1911",
"fax_number": "208-895-8049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARDEN",
"first_name": "URSULA",
"middle_name": "A",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-31",
"last_updated": "2012-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "31480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.