Individual provider Active NPI

Cynthia Marie Brice, LMSW

  • Social Worker
  • Middleton, ID
National Provider Identifier
1386374890
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW-42048 Issued in ID
Practice address
22480 Duff LN
Middleton, ID 83644-6041
Phone
(208) 965-4502
Fax
(208) 505-4280
NPI assigned
Jun 16, 2022
Last updated
Jun 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW-42048 ID Primary

Addresses

Primary practice location

22480 Duff LN
Middleton, ID 83644-6041

Mailing address

22480 Duff LN
Middleton, ID 83644-6041
Phone (208) 965-4502

Other names 1

  • Cynthia Marie Miller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260528001363 ID Practitioner - Clinical Social Worker 1557831864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stillwater ConnectionGroup PAC ID 0941640668, 4 clinicians

Practice addresses (Care Compare)

22480 Duff LN
Middleton, ID 83644-6041
Phone (208) 965-4502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-42048IDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stillwater Connection CurrentSince Mar 24, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1386374890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22480 DUFF LN",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "836446041",
            "telephone_number": "208-965-4502",
            "fax_number": "208-505-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22480 DUFF LN",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "836446041",
            "telephone_number": "208-965-4502",
            "fax_number": "208-505-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICE",
        "first_name": "CYNTHIA",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-42048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "MILLER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middleton, ID

Sources for this page

Verify at the official NPI Registry.