Tambra Eve Fox Stewart, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW - 29319 Issued in ID

Practice address

1111 S Orchard St
Suite 172
Boise, ID 83705-1966

Phone

(208) 336-9591

NPI assigned

Feb 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• All Together Now

  • Mental Health Counselor
  • Boise, ID
  • NPI 1730121195
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247097600000",
    "number": "1316080179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 N TRAIL CREEK WAY",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836164090",
            "telephone_number": "208-938-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S ORCHARD ST",
            "address_2": "SUITE 172",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051966",
            "telephone_number": "208-336-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX STEWART",
        "first_name": "TAMBRA",
        "middle_name": "EVE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2009-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW - 29319",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LCSW - 29319",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LCSW - 29319",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Kaylyn Fountain, PHARMD
• Carlee Renee Fountaine, MD
• Heather Fountaine, LMSW
• Jaron Fowers, DO
• Justin Fowler, MD
• Anne Jordan Fox, MD
• Ciciley T. Fox, MD
• Cindy Gordon Fox, LMFT
• Donald James Fox, MD
• Heather N Fox, PA

• Clinical Social Worker in Boise, ID
• Providers in Boise, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.