Individual provider Active NPI

Matthew Chet Naples, LMSW

  • Social Worker
  • Mountain Home, ID
National Provider Identifier
1205574266
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW-42214 Issued in ID
Practice address
1993 E 8TH N
Mountain Home, ID 83647-2326
Phone
(208) 587-7626
NPI assigned
May 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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 LMSW-42214 ID Primary

Addresses

Primary practice location

1993 E 8TH N
Mountain Home, ID 83647-2326

Mailing address

6208 N Park Meadow Way Apt 203
Boise, ID 83713-1657
Phone (609) 273-8754

Other practice location 1

3040 N Five Mile Rd
Boise, ID 83713-5234
Phone (208) 376-4999

Other identifiers 1

IdentifierTypeStateIssuer
LMSW-42214MedicaidID

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
LMSW-42214IDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Home Society of Idaho 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1205574266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6208 N PARK MEADOW WAY APT 203",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131657",
            "telephone_number": "609-273-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1993 E 8TH N",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836472326",
            "telephone_number": "208-587-7626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3040 N Five Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837135234",
            "country_code": "US",
            "telephone_number": "208-376-4999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAPLES",
        "first_name": "MATTHEW",
        "middle_name": "CHET",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-42214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LMSW-42214",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.