Individual provider Active NPI

Gordon Frank Cvach, MSW

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1336423995
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4371852 Issued in ID
Practice address
6348 W Emerald St
Boise, ID 83704-8732
Phone
(208) 302-0900
Fax
(208) 302-0955
NPI assigned
Sep 30, 2011
Last updated
Jun 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6409-C NV
Clinical Social Worker 1041C0700X 4371852 ID Primary

Addresses

Primary practice location

6348 W Emerald St
Boise, ID 83704-8732

Mailing address

PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170

Other practice location 1

6900 Pecos Rd
North Las Vegas, NV 89086-4400
Phone (702) 791-9000 ext. 13806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180326002676 NV Practitioner - Clinical Social Worker 7012279391 Reassigns benefits to 2 organizations
I20250625000816 ID Practitioner - Clinical Social Worker 7012279391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Desert Behavioral HealthGroup PAC ID 3274702360, 11 clinicians

Practice addresses (Care Compare)

3025 W Cherry LN
Meridian, ID 83642-8531

4055 Spencer St
Suite 118
Las Vegas, NV 89119-5250
Phone (702) 799-9710

6348 W Emerald St
Boise, ID 83704-8732
Phone (208) 302-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Unlimited CurrentSince Jun 21, 2021 Accepting new patients
Vitality Unlimited CurrentSince Jun 21, 2021 Accepting new patients
Vitality Unlimited Current Accepting new patients
Saint Alphonsus Regional Medical Center Inc Clinical Current Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Jul 1, 2025 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Jul 1, 2025 Accepting new patients
LKBG LLC Clinical PastSince Feb 28, 2018 Accepting new patients
Alliance Medical Group, LLC PastSince Jun 15, 2025 Accepting new patients

Locations

6348 W Emerald St
Boise, ID 83704
Phone (208) 302-0900

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

120 Pike St
Dayton, NV 89403
Phone (775) 241-9440

1250 Lamoille Hwy
Ste 942
Elko, NV 89801
Phone (775) 738-0166

215 Bluffs Ave
Ste 200
Elko, NV 89801
Phone (775) 738-2925

3740 E Idaho St
Elko, NV 89801
Phone (775) 738-8004

1135 Terminal Way
Ste 112
Reno, NV 89502
Phone (775) 322-3668

Interoperability endpoints

  • Direct secure messaging: gcvach4459637@direct.trinity-health.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1336423995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190930",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837190930",
            "telephone_number": "208-367-5170",
            "fax_number": "208-367-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6348 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048732",
            "telephone_number": "208-302-0900",
            "fax_number": "208-302-0955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6900 Pecos Rd",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890864400",
            "country_code": "US",
            "telephone_number": "702-791-9000 x13806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CVACH",
        "first_name": "GORDON",
        "middle_name": "FRANK",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-30",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "6409-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "4371852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.