Active NPI
Stacie Karlinsey, LCSW
- Clinical Social Worker
- Boise, ID
National Provider Identifier
1356989909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-42413
- Practice address
- 545 N Benjamin LN
Boise, ID 83704-9623 - Phone
- (208) 322-1026
- NPI assigned
- Dec 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW-38814 | ID | |
| Clinical Social Worker | 1041C0700X | LCSW-42413 | ID | Primary |
Addresses
Primary practice location
545 N Benjamin LN
Boise, ID 83704-9623
Mailing address
639 N 2858 E
Roberts, ID 83444-5070
Phone (208) 585-8086
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCSW-42413 | Other | ID | IDAHO BOARD OF SOCIAL WORK |
| LMSW-38814 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-38814 | ID | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moonlight Meadows Counseling Center | Current | Accepting new patients | |
| New Horizons Mental Wellness Clinics PLLC | Past | Accepting new patients | |
| Stewards of Recovery | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Roberts, ID
- NPI 1720713100
-
- Case Management Registered Nurse
- Pocatello, ID
- NPI 1285029496
-
- Community/Behavioral Health Agency
- Idaho Falls, ID
- NPI 1720486228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1356989909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "639 N 2858 E",
"city": "ROBERTS",
"state": "ID",
"postal_code": "834445070",
"telephone_number": "208-585-8086",
"fax_number": "208-932-4582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 N BENJAMIN LN",
"city": "BOISE",
"state": "ID",
"postal_code": "837049623",
"telephone_number": "208-322-1026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARLINSEY",
"first_name": "STACIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-13",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LMSW-38814",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW-42413",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDAHO BOARD OF SOCIAL WORK",
"identifier": "LCSW-42413",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LMSW-38814",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.