Individual provider Active NPI

Jennifer Hurds, LCSW

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1235299652
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-27248 Issued in ID
Practice address
600 E Riverpark LN
Suite 105
Boise, ID 83706-6551
Phone
(208) 489-5880
Fax
(208) 658-9820
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-27248 ID Primary

Addresses

Primary practice location

600 E Riverpark LN
Suite 105
Boise, ID 83706-6551

Mailing address

600 E Riverpark LN
Suite 105
Boise, ID 83706-6551
Phone (208) 489-5880

Other names 1

  • Jennifer Darling Former name

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
LCSW-27248IDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1235299652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E RIVERPARK LN",
            "address_2": "SUITE 105",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066551",
            "telephone_number": "208-489-5880",
            "fax_number": "208-658-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E RIVERPARK LN",
            "address_2": "SUITE 105",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066551",
            "telephone_number": "208-489-5880",
            "fax_number": "208-658-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURDS",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-27248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DARLING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.