Midlife Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW29348 Issued in ID

Legal business name

MIDLIFE CENTER

Practice address

1423 N Government Way
Coeur D Alene, ID 83814-3335

Phone

(208) 691-2515

Fax

(208) 665-2398

NPI assigned

Apr 22, 2010

Organization subpart

No

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

Authorized official

Name

Julie Kay Boothe

Title

Biller

Phone

(208) 765-5656

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra Lee Winterer, MSW, LCSW

  • Clinical Social Worker
  • Coeur D Alene, ID
  • NPI 1316264955
  NPD (past)

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

{
    "created_epoch": "1271894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271894400000",
    "number": "1336466994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 N BALCONY DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838146899",
            "telephone_number": "208-691-2515",
            "fax_number": "208-665-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 N GOVERNMENT WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143335",
            "telephone_number": "208-691-2515",
            "fax_number": "208-665-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLIFE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-22",
        "last_updated": "2010-04-22",
        "status": "A",
        "authorized_official_last_name": "BOOTHE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "208-765-5656"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW29348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arne E Michalson, MD
• Linda S Michalson, MD
• Pablo Fernando Michel Sanchez, M.D.
• Mickelson-Gates Dentistry PLLC
• Chace Derrick Mickelson, D.M.D
• Brendan A Mielke, MD
• Mike Dusbabek Physical Therapy, PLLC
• Erika M Mikles, PA-C
• Kelly Milbrath, P.T.
• Alyssa Miller, PA-C

• Clinical Social Worker in Coeur D Alene, ID
• Providers in Coeur D Alene, 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 Apr 22, 2010; 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.