Alec Michael Gedwill

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9271575 Issued in ID

Practice address

524 S 9TH Ave Ste 103
Caldwell, ID 83605-5072

Phone

(208) 454-8555

NPI assigned

Oct 7, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Easterseals-Goodwill Northern Rocky Mountain, Inc

  • Community/Behavioral Health Agency
  • Caldwell, ID
  • NPI 1558706945
  NPD

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1255150322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 W LOWRY ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836463128",
            "telephone_number": "925-858-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 S 9TH AVE STE 103",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836055072",
            "telephone_number": "208-454-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDWILL",
        "first_name": "ALEC",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-07",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "9271575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Renae Garcia, FNP-C
• Pamela Sue Garner
• Gary Schnell DDS
• Leticia Marie Garza, LMT
• Emily Jane Geary, M.S., R.D., L.D.
• Gem Infant Nutriiton, LLC
• Gem State Mobility
• Gem-State Anesthesia Services, PLLC
• Genhealer LLC
• Nicholas Ryan Gensburger, LD

• Clinical Social Worker in Caldwell, ID
• Providers in Caldwell, 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 4, 2026; 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.