Macie Gardner
Individual provider Active NPI Social Worker · Payette, ID
NPI 1316613433 · NPPES record last updated Aug 18, 2021
Key facts
- NPI
- 1316613433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 250 S Main St
Payette, ID 83661-2853 - Phone
- (208) 405-0020
- NPI assigned
- Aug 18, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Matters, Inc | Social Worker | Current |
Accepting new patients |
| Insight Counseling & Therapy | Current |
Accepting new patients |
Locations
250 S Main St
Payette, ID 83661
Phone (208) 405-0020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
250 S Main St
Payette, ID 83661-2853
Mailing address
61 N Canyon St
Nampa, ID 83651-2376
Other providers in Payette, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.