Idacare Foundation

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-28826 Issued in ID

Legal business name

IDACARE FOUNDATION

Practice address

2206 N Cole Rd
Boise, ID 83704-7313

Phone

(208) 451-0101

NPI assigned

Jun 6, 2018

Last updated

Jun 6, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Shawn J Briley, LCSWNPI 1801068127

Title

Director

Phone

(208) 451-0101

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shawn Joyce Briley, LCSW

  • Clinical Social Worker
  • McCall, ID
  • NPI 1801068127
  NPD Authorized official
• Tami L Bishop, LCSW

  • Clinical Social Worker
  • Boise, ID
  • NPI 1255836748
  NPD (past)

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1366934283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1127",
            "city": "MCCALL",
            "state": "ID",
            "postal_code": "836381127",
            "telephone_number": "208-451-0101",
            "fax_number": "888-634-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 N COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837047313",
            "telephone_number": "208-451-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDACARE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A",
        "authorized_official_last_name": "BRILEY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "208-451-0101",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-28826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Id Dept of Health & Welfare CSHP (SLC)
• Id Oms Specialty Dental Services, PLLC (Boise Oral Surgery & Implant Center)
• Id PHS LLC
• Id SDS II PLLC (Super Smiles Orthodontics)
• Idacare (IdaCare Inc.)
• Idagem Services Inc
• Idaho Advanced Dental Anesthesia, LLC
• Idaho Advanced Medical Care LLC
• Idaho Anesthesia Professionals LLC
• Idaho Behavior Change

• 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 Jun 6, 2018; 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.