Anjannette Monroe, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44244 Issued in ID

Practice address

400 N Benjamin LN Ste 201
Boise, ID 83704-5094

Phone

(082) 287-5605

NPI assigned

Jul 1, 2014

Last updated

Oct 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1376959106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N BENJAMIN LN STE 201",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045094",
            "telephone_number": "208-287-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N BENJAMIN LN STE 201",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045094",
            "telephone_number": "082-287-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "ANJANNETTE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "33930",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "44244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory W. Mondin, PH.D.
• Perla Mondragon
• Jacob Adam Mong, D.O.
• Donna Marie Puninani Moniz
• Kathryn Patricia Monnig, LCPC
• Crystal Monroe, LMT
• Fiona Zhen Bao Montagne
• Paul Joseph Montalbano, MD
• Marissa Montamat, COTA
• Stephen C Montamat, MD

• 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 Oct 20, 2023; 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.