Tami L Bishop, LCSW
Individual provider Active NPI Clinical Social Worker · Boise, ID
NPI 1255836748 · NPPES record last updated Oct 20, 2025
Key facts
- NPI
- 1255836748
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 36952 (ID)
- Practice address
- 4467 S Chinook Ave
Boise, ID 83709-5572 - Phone
- (208) 809-1888
- Fax
- (208) 563-2600
- NPI assigned
- Mar 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4467 S Chinook Ave
Boise, ID 83709-5572
Phone (208) 809-1888
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180511000509 | ID | Practitioner - Clinical Social Worker | 8729342100 |
Reassigns benefits to 1 organization Practice locations: Boise, ID |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36952 | ID | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartcore Solutions LLC | Clinical | Current |
Accepting new patients |
| Idacare | Clinical | Current |
Accepting new patients |
| Idacare Foundation | Clinical | Past |
Accepting new patients |
| Carolina Senior Counseling LLC | Clinical | Past |
Accepting new patients |
Locations
2206 N Cole Rd
Boise, ID 83704
Phone (208) 451-0101
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 36952 | ID | Yes |
Addresses
Primary practice location
4467 S Chinook Ave
Boise, ID 83709-5572
Mailing address
4467 S Chinook Ave
Boise, ID 83709-5572
Phone (208) 809-1888
NPI Registry JSON
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1255836748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4467 S CHINOOK AVE",
"city": "BOISE",
"state": "ID",
"postal_code": "837095572",
"telephone_number": "208-809-1888",
"fax_number": "208-563-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4467 S CHINOOK AVE",
"city": "BOISE",
"state": "ID",
"postal_code": "837095572",
"telephone_number": "208-809-1888",
"fax_number": "208-563-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "TAMI",
"middle_name": "L",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-27",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "36952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
- Jessica Bishop
- Joshua Todd Bishop
- Larry Bishop
- Paul Bishop
- Rebecca Bishop
- Pascal Rudahindwa Bisimwa
- Neome Bisoci
- Samuel Bisoka
- Wivine Pili Bisoka
- Clay T Bistline
All providers in Boise, ID · Clinical Social Worker in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.