Mindy Jo Wolverton, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

28591 Issued in ID

Practice address

5440 W Franklin Rd Ste 200
Boise, ID 83705-6434

Phone

(208) 793-0004

NPI assigned

Sep 19, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Acceptance Counseling Services

  • Community/Behavioral Health Agency
  • Boise, ID
  • NPI 1407499270
  NPD
• High Valley Counseling

  • Professional Counselor
  • Boise, ID
  • NPI 1952148058
  NPD (past)

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1366164022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 W LOWER FORK CT",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837096088",
            "telephone_number": "208-919-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 W FRANKLIN RD STE 200",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837056434",
            "telephone_number": "208-793-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLVERTON",
        "first_name": "MINDY",
        "middle_name": "JO",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "28591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer D Wolff, CRNA
• Jordan B Wolff, CRNA
• Kelley Wolff, PA
• Katelin Wollner, ATC
• Matthew James Wolter, DO
• Sarah Margaret Wolverton, D.C.
• Delainey Mae Womack, RDN
• Michael Scott Womack, M.D.
• Woman'S Clinic
• Women'S and Children'S Alliance

• Clinical Social Worker in Boise, ID
• Providers in Boise, 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 Sep 19, 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.

Verify at the official NPI Registry.