Individual provider Active NPI

Amanda Sue Helsley, LCSW

  • Clinical Social Worker
  • Meridian, ID
National Provider Identifier
1265838601
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-37501 Issued in ID
Practice address
3525 E. Louise Dr. Suite 500
Meridian, ID 83642
Phone
(208) 994-1934
Fax
(208) 473-5974
NPI assigned
Nov 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW-32448 ID
Clinical Social Worker 1041C0700X LCSW-37501 ID Primary

Addresses

Primary practice location

3525 E. Louise Dr. Suite 500
Meridian, ID 83642

Mailing address

3525 E Louise Dr Ste 500
Meridian, ID 83642-6305
Phone (208) 994-1934

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
I20181204002929 ID Practitioner - Clinical Social Worker 5294079125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10400 W Overland Rd
Suite 278
Boise, ID 83709-1433

214 S Cole Rd
Suite 214
Boise, ID 83709-0934
Phone (208) 252-5009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-32448IDMDSocial Worker
LCSW-37501IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Oct 1, 2018 Accepting new patients
Introspective Counseling & Consulting LLC Clinical CurrentSince Nov 12, 2019 Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

10400 W Overland Rd
Boise, ID 83709
Phone (208) 336-9504

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

5155 S Hillsdale Ave
Meridian, ID 83642
Phone (208) 505-2950

3525 E Louise Dr
Ste 500
Meridian, ID 83642
Phone (208) 706-7050

9850 W St Lukes Dr
Ste 190
Nampa, ID 83687

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": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1265838601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 E LOUISE DR STE 500",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426305",
            "telephone_number": "208-994-1934",
            "fax_number": "208-472-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 E. LOUISE DR. SUITE 500",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-994-1934",
            "fax_number": "208-473-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELSLEY",
        "first_name": "AMANDA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-12",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-32448",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-37501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.