Allysa Kay Sobotta

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW-38026 Issued in ID

Practice address

204 10TH Ave S
Nampa, ID 83651-3832

Phone

(208) 466-2229

Fax

(208) 466-2667

NPI assigned

Sep 18, 2018

Last updated

Sep 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1215411038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 COVE ARM CIR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836512288",
            "telephone_number": "541-701-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 10TH AVE S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513832",
            "telephone_number": "208-466-2229",
            "fax_number": "208-466-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBOTTA",
        "first_name": "ALLYSA",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-38026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Smylie, L.M.T.
• Brian Doxey Snow, D.O.
• E. Fred Snow, LCPC
• Kendra Snow, MS CCC-SLP
• Marshall Snow, M.D.
• Samong Som, LCSW
• Teresa Sommer, LMT
• Kathleen Elizabeth Sonnen, PA
• Dawn L Soriano, LCSW
• Shannon Lynn Sorini, LCSW

• Social Worker in Nampa, ID
• Providers in Nampa, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.