Active NPI
Michael David Schwartz, LMSW
- Social Worker
- Boise, ID
National Provider Identifier
1255768248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW33279
- Practice address
- 408 N Allumbaugh St
Boise, ID 83704-9209 - Phone
- (208) 323-9600
- Fax
- (208) 323-9606
- NPI assigned
- Oct 4, 2013
- Sex
- Male
- 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 | LMSW33279 | ID | Primary |
Addresses
Primary practice location
408 N Allumbaugh St
Boise, ID 83704-9209
Mailing address
211 16TH Ave N
PO Box 9
Nampa, ID 83687-4058
Phone (208) 461-7149
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LMSW 33279 | Other | ID | LICENSE |
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 |
|---|---|---|---|
| LMSW33279 | ID | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Clinics, Inc. | Social Worker | Past | Accepting new patients |
| Journey Mental Health | Past | Accepting new patients |
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.
-
- Federally Qualified Health Center (FQHC)
- Boise, ID
- NPI 1346254026
Social Worker
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Meridian, ID
- NPI 1316272248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380844800000",
"number": "1255768248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 16TH AVE N",
"address_2": "PO BOX 9",
"city": "NAMPA",
"state": "ID",
"postal_code": "836874058",
"telephone_number": "208-461-7149",
"fax_number": "208-467-3391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 N ALLUMBAUGH ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837049209",
"telephone_number": "208-323-9600",
"fax_number": "208-323-9606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARTZ",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-04",
"last_updated": "2013-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LMSW33279",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "LMSW 33279",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
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 Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.