Individual provider Active NPI

Jennifer Lynn Oberst, LMSW

  • Social Worker
  • Coeur D Alene, ID
National Provider Identifier
1225449606
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW-30658 Issued in ID
Practice address
7905 N Meadowlark Way Ste B
Coeur D Alene, ID 83815-5041
Phone
(208) 772-3116
Fax
(208) 772-7677
NPI assigned
May 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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-30658 ID Primary
Social Worker 104100000X SA60461160 WA

Addresses

Primary practice location

7905 N Meadowlark Way Ste B
Coeur D Alene, ID 83815-5041

Mailing address

8826 E Argonne LN
Spokane, WA 99212-1795
Phone (509) 981-6065

Other identifiers 2

IdentifierTypeStateIssuer
SA60461160OtherWASOCIAL WORKER ASSOCIATE ADVANCED
LMSW-30658OtherIDLICENSED MASTER SOCIAL WORKER

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-30658IDMDSocial Worker
SA60461160WAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sensitive Mental Healthcare PLLC 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": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1225449606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8826 E ARGONNE LN",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992121795",
            "telephone_number": "509-981-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 N MEADOWLARK WAY STE B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838155041",
            "telephone_number": "208-772-3116",
            "fax_number": "208-772-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERST",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-30658",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SA60461160",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORKER ASSOCIATE ADVANCED",
            "identifier": "SA60461160",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MASTER SOCIAL WORKER",
            "identifier": "LMSW-30658",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.