Active NPI
Madison J Rhodes, LMSW
- Social Worker
- Blackfoot, ID
National Provider Identifier
1205761087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 9861763
- Practice address
- 1309 Camas St
Blackfoot, ID 83221-3060 - Phone
- (208) 782-0675
- NPI assigned
- Jun 15, 2026
- Last updated
- Jun 15, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 9861763 | ID | Primary |
Addresses
Primary practice location
1309 Camas St
Blackfoot, ID 83221-3060
Mailing address
1355 Pendlebury LN
Blackfoot, ID 83221-3642
Phone (208) 604-8361
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 |
|---|---|---|---|
| 9861763 | ID | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1205761087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1355 PENDLEBURY LN",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832213642",
"telephone_number": "208-604-8361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 CAMAS ST",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832213060",
"telephone_number": "208-782-0675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "MADISON",
"middle_name": "J",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-15",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "9861763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blackfoot, ID
- Jason Reid, M.D.
- Renal Treatment Centers West Inc (Snake River Dialysis Center)
- Restoration Chiropractic LLC (Restoration Chiropractic & Massage Therapy)
- Leticia J Reyes, LMSW
- Shawna Marie Reynolds, PA
- Richard C. Hill MD, PLLC
- Ralph Lynn Richards, LMSW
- Ridleys Family Markets Inc (Ridleys Pharmacy #7153)
- Christopher S Riley, MD
- Sharon Lee Rivas, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.