Individual provider Active NPI

Adriana Crompton, LCSW

  • Clinical Social Worker
  • Mountain Home, ID
National Provider Identifier
1184104697
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-41827 Issued in ID
Practice address
120 Desert Sage Way
Mountain Home, ID 83647-1038
Phone
(208) 587-3988
Fax
(208) 587-3324
NPI assigned
Aug 15, 2018
Last updated
Mar 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW-37924 ID
Clinical Social Worker 1041C0700X LCSW-41827 ID Primary

Addresses

Primary practice location

120 Desert Sage Way
Mountain Home, ID 83647-1038

Mailing address

700 SW Huebert St
Mountain Home, ID 83647-5015

Other names 1

  • Adriana Garcia Former name

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
I20230425002295 ID Practitioner - Clinical Social Worker 2466817507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glenns Ferry Health Center IncGroup PAC ID 5496656894, 17 clinicians

Practice addresses (Care Compare)

120 Desert Sage Way
Mountain Home, ID 83647-1038
Phone (208) 587-3988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-37924IDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Glenns Ferry Health Center, Inc. Current Accepting new patients
Glenns Ferry Health Center, Inc. CurrentSince Apr 25, 2023 Accepting new patients
Glenns Ferry Health Center, Inc. CurrentSince Apr 25, 2023 Accepting new patients
Glenns Ferry Health Center, Inc. Past Accepting new patients

Locations

486 W 1st Ave
Glenns Ferry, ID 83623
Phone (208) 366-7416

120 Desert Sage Way
Mt Home, ID 83647
Phone (208) 587-3988

2280 American Legion Blvd
Mt Home, ID 83647
Phone (208) 366-7416

Interoperability endpoints

  • Direct secure messaging: adriana.crompton.1@16522.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16522/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1184104697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SW HUEBERT ST",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836475015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 DESERT SAGE WAY",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836471038",
            "telephone_number": "208-587-3988",
            "fax_number": "208-587-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROMPTON",
        "first_name": "ADRIANA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-37924",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-41827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIANA",
            "last_name": "GARCIA",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mountain Home, ID

Sources for this page

Verify at the official NPI Registry.