Individual provider Active NPI

Lisa Harrison, LMSW

  • Clinical Social Worker
  • Nampa, ID
National Provider Identifier
1346600723
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LMSW-35111 Issued in ID
Practice address
407 N Sherwood Dr
Nampa, ID 83651-1865
Phone
(208) 249-6464
NPI assigned
Feb 29, 2016
Last updated
Feb 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LMSW-35111 ID Primary

Addresses

Primary practice location

407 N Sherwood Dr
Nampa, ID 83651-1865

Mailing address

407 N Sherwood Dr
Nampa, ID 83651-1865
Phone (208) 249-6464

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
I20220110002538 ID Practitioner - Clinical Social Worker 7618369380 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

112 9TH Ave S
B9
Nampa, ID 83651-3825
Phone (208) 450-3230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-35111IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
All Horizons, Inc. Clinical CurrentSince Dec 1, 2021 Accepting new patients
All Horizons Inc Current Accepting new patients
Mindhaven Mental Health CurrentSince Jan 9, 2024 Accepting new patients

Locations

6933 W Emerald St
Boise, ID 83704
Phone (208) 321-0634

112 9th Ave S
#B9
Nampa, ID 83651
Phone (208) 450-3230

Organizations & group practices 3

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": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1346600723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N SHERWOOD DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511865",
            "telephone_number": "208-249-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N SHERWOOD DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511865",
            "telephone_number": "208-249-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "LISA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LMSW-35111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.