Individual provider Active NPI

Janette Michelle Hiebert, LMSW

  • Social Worker
  • Boise, ID
National Provider Identifier
1346429826
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW-26994 Issued in ID
Practice address
8100 W Emerald St Ste 150
Boise, ID 83704-9057
Phone
(208) 375-0752
Fax
(208) 375-0796
NPI assigned
Oct 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW-26994 ID Primary

Addresses

Primary practice location

8100 W Emerald St Ste 150
Boise, ID 83704-9057

Mailing address

8100 W Emerald St Ste 150
Boise, ID 83704-9057
Phone (208) 375-0752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110328000664 ID Practitioner - Clinical Social Worker 8527241637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerpointe, Inc.Group PAC ID 4587833215, 3 clinicians

Practice addresses (Care Compare)

915 Parkcentre Way
Suite 7
Nampa, ID 83651-1748
Phone (208) 442-7791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-26994IDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Centerpointe, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1346429826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 W EMERALD ST STE 150",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049057",
            "telephone_number": "208-375-0752",
            "fax_number": "208-375-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 W EMERALD ST STE 150",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049057",
            "telephone_number": "208-375-0752",
            "fax_number": "208-375-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIEBERT",
        "first_name": "JANETTE",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-26994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.