Eric J Fieldstad II, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-38192 Issued in ID

Practice address

5185 W Overland Rd
Boise, ID 83705-2635

Phone

(208) 918-0697

Fax

(208) 342-7584

NPI assigned

Mar 22, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1194187898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45581",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837115581",
            "telephone_number": "208-880-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5185 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052635",
            "telephone_number": "208-918-0697",
            "fax_number": "208-342-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDSTAD",
        "first_name": "ERIC",
        "middle_name": "J",
        "name_suffix": "II",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-34845",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "ID",
            "license": "LMSW-34845",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-38192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan Feuerborn, D.O.
• Taylor Feuz, DPT
• Mary Field, LCSW
• Piper Field, M.A., L.M.F.T.
• Pamela K Fields, NP
• Annie C Fife, NP
• Errol Chandler Fife, DDS
• Steven P. Filer, PH.D (ABD)
• Mark Anthony Filicetti, RPH
• Olivia Filicetti, PT, DPT

• Clinical Social Worker in Boise, ID
• Providers in Boise, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.