William C. Slaven, LCSW, CADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 28016 Issued in ID

Practice address

1135 Yellowstone Ave
Suite D
Pocatello, ID 83201-5082

Phone

(208) 237-3365

Fax

(208) 232-5423

NPI assigned

Mar 9, 2011

Sex

Male

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

Practice roles

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.

• Lighthouse for Recovery, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Pocatello, ID
  • NPI 1013298058
  NPD (past) Authorized official

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1235437591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 W LINDEN AVE",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832022306",
            "telephone_number": "208-237-3365",
            "fax_number": "208-232-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 YELLOWSTONE AVE",
            "address_2": "SUITE D",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015082",
            "telephone_number": "208-237-3365",
            "fax_number": "208-232-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAVEN",
        "first_name": "WILLIAM",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "LCSW, CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-09",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW 28016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve M Skoumal, MD
• Darya Skrenes, MD
• Skyline Surgery Center, LLC
• Taylor R Slade
• Slate Medical Aesthetics PLLC
• Jeffrey Slavich, P.A.
• Chayla Eve Slavin
• Ross Slayton
• Sleep Better Idaho LLC
• Sleeping Spine Health & Wellness, PLLC

• Clinical Social Worker in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.