Individual provider Active NPI

Laura Jo Curtis, LCSW

  • Clinical Social Worker
  • Meridian, ID
National Provider Identifier
1245467620
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-31650 Issued in ID
Practice address
2076 S Eagle Rd
Meridian, ID 83642-6707
Phone
(208) 955-7333
NPI assigned
Jun 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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-31650 ID Primary

Addresses

Primary practice location

2076 S Eagle Rd
Meridian, ID 83642-6707

Mailing address

2517 W Heron St
Boise, ID 83702-2339
Phone (208) 596-0559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140815000588 ID Practitioner - Clinical Social Worker 9133301203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Neurobehavioral Health LLC 9 clinicians

Practice addresses (Care Compare)

2463 E Gala St
Suite 100
Meridian, ID 83642-5210
Phone (208) 955-7333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Neurobehavioral Health, LLC Clinical CurrentSince Jun 24, 2014 Accepting new patients
Northwest Neurobehavioral Health PLLC Past Accepting new patients

Locations

2463 E Gala St
Ste 100
Meridian, ID 83642
Phone (208) 955-7333

2463 E Gala St
Meridian, ID 83642
Phone (208) 908-1881

2076 S Eagle Rd
Meridian, ID 83642
Phone (208) 955-7333

2965 E Tarpon Dr
Ste 150
Meridian, ID 83642
Phone 2082879420110

Organizations & group practices 2

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": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1245467620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 W HERON ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837022339",
            "telephone_number": "208-596-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 S EAGLE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426707",
            "telephone_number": "208-955-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURTIS",
        "first_name": "LAURA",
        "middle_name": "JO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-31650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.