Active NPI
Ciarra N Fuller, LCSW
- Clinical Social Worker
- Nampa, ID
National Provider Identifier
1265101927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-44557
- Practice address
- 1425 W Sheridan Ave
Nampa, ID 83686-9713 - Phone
- (208) 740-9234
- NPI assigned
- Sep 7, 2021
- Last updated
- Oct 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-44557 | ID | Primary |
Addresses
Primary practice location
1425 W Sheridan Ave
Nampa, ID 83686-9713
Mailing address
1425 W Sheridan Ave
Nampa, ID 83686-9713
Phone (208) 740-9234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Behavioral Health Services | Current | Accepting new patients | |
| Access Behavioral Health Services, Inc | Current | Accepting new patients | |
| Mental Health Specialists | Clinical | Past | Accepting new patients |
| Demren Lahhf, LLC | Past | Accepting new patients |
Locations
1276 W River St
Ste 100
Boise, ID 83702
Phone (208) 338-4699
3307 Caldwell Blvd
Ste 104
Nampa, ID 83651
Phone (208) 465-4833
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Boise, ID
- NPI 1487700589
-
- Primary Care Clinic/Center
- Boise, ID
- NPI 1932506508
-
- Clinical Social Worker
- Chubbuck, ID
- NPI 1548585458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1265101927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 W SHERIDAN AVE",
"city": "NAMPA",
"state": "ID",
"postal_code": "836869713",
"telephone_number": "208-740-9234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 W SHERIDAN AVE",
"city": "NAMPA",
"state": "ID",
"postal_code": "836869713",
"telephone_number": "208-740-9234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLER",
"first_name": "CIARRA",
"middle_name": "N",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-07",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW-44557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
- Charles Frost, PA-C
- Billie-Lee Jesse Fruit, CPHT
- Odalys Jeanette Fuentes, LMFT
- Nathan Scott Fuhriman, LPC
- Full Circle Health, Inc. (Full Circle Health Pharmacy Nampa)
- Michael Jay Fuller, M.ED, MSW
- Samuel J Fuller, MS, LPC
- Brenda R. Fulton, LMSW
- Functional Medicine Center of Boise LLC
- Patricia J Funkhouser, DNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.