Bonnie Davidson
Individual provider Active NPI Social Worker · Middleton, ID
NPI 1376913327 · NPPES record last updated Jan 8, 2026
Key facts
- NPI
- 1376913327
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 44567 (ID)
- Practice address
- 22480 Duff LN
Middleton, ID 83644-6041 - Phone
- (208) 965-4502
- Fax
- (208) 505-4280
- NPI assigned
- Oct 2, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44567 | ID | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stillwater Connection | Mental Health | Current |
Accepting new patients |
| Insight Matters, Inc | Mental Health | Past |
Accepting new patients |
| Insight Counseling & Therapy | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44567 | ID | Yes |
Addresses
Primary practice location
22480 Duff LN
Middleton, ID 83644-6041
Mailing address
600 W Ash St
Caldwell, ID 83605-5116
Phone (208) 250-1275
Other providers in Middleton, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.