Active NPI
Jazmin Rizo Gonzalez, LMSW
- Social Worker
- Moscow, ID
National Provider Identifier
1245115765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 8977964
- Practice address
- 305 Lauder Ave
Moscow, ID 83843-4407 - Phone
- (509) 521-1832
- NPI assigned
- Aug 6, 2025
- Last updated
- Aug 7, 2025
- 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 | 8977964 | ID | Primary |
Addresses
Primary practice location
305 Lauder Ave
Moscow, ID 83843-4407
Mailing address
305 Lauder Ave
Moscow, ID 83843-4407
Phone (509) 521-1832
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 |
|---|---|---|---|
| 8977964 | ID | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1245115765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 LAUDER AVE",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838434407",
"telephone_number": "509-521-1832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 LAUDER AVE",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838434407",
"telephone_number": "509-521-1832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIZO GONZALEZ",
"first_name": "JAZMIN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-06",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "8977964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moscow, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.