Sallie Sublette

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-339 Issued in ID

Practice address

850 E Center St
Pocatello, ID 83201-5737

Phone

(208) 233-9204

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316961972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5675 HILO DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832044625",
            "telephone_number": "208-232-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E CENTER ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015737",
            "telephone_number": "208-233-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBLETTE",
        "first_name": "SALLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Strong
• Lisa Stuban, MASSAGE THERAPIST
• Andrew R Stucki, DMD
• Jeffrey Dee Stucki, DO
• Jessica Sturman
• Allison Lindsay Suing, ARPN, NNP-BC
• Andrew Sullivan, DO
• Shaun Stephen Summerill, M.D.
• Jack Pearson Summers, MD
• Jasmine Summers, PMHNP

• Clinical Social Worker in Pocatello, ID
• Providers in Pocatello, 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 8, 2007; 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.