Active NPI
Renae Michelle Suarez, LMSW
- Social Worker
- Idaho Falls, ID
National Provider Identifier
1306280003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW-32842
- Practice address
- 2235 E 25TH St
Suite 185
Idaho Falls, ID 83404-7519 - Phone
- (208) 390-1147
- Fax
- (208) 552-8847
- NPI assigned
- Apr 24, 2013
- Sex
- Female
- 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 | LMSW-32842 | ID | Primary |
Addresses
Primary practice location
2235 E 25TH St
Suite 185
Idaho Falls, ID 83404-7519
Mailing address
2235 E 25TH St
Suite 185
Idaho Falls, ID 83404-7519
Phone (208) 390-1147
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 |
|---|---|---|---|
| LMSW-32842 | ID | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366761600000",
"number": "1306280003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2235 E 25TH ST",
"address_2": "SUITE 185",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047519",
"telephone_number": "208-390-1147",
"fax_number": "208-552-8847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2235 E 25TH ST",
"address_2": "SUITE 185",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047519",
"telephone_number": "208-390-1147",
"fax_number": "208-552-8847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUAREZ",
"first_name": "RENAE",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-24",
"last_updated": "2013-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LMSW-32842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.