Individual provider Active NPI

Lynn McDonald, LCSW

  • Clinical Social Worker
  • Emmett, ID
National Provider Identifier
1396183596
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27530 Issued in ID
Practice address
522 E 5TH St
Emmett, ID 83617-3606
Phone
(208) 866-2502
NPI assigned
Jun 10, 2013
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 27530 ID Primary

Addresses

Primary practice location

522 E 5TH St
Emmett, ID 83617-3606

Mailing address

522 E 5TH St
Emmett, ID 83617-3606
Phone (208) 866-2502

Other names 1

  • Lynn Stevens Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240405000856 ID Practitioner - Clinical Social Worker 8123466422 Reassigns benefits to 1 organization
I20250919003042 OR Practitioner - Clinical Social Worker 8123466422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Haas Associates, LLCGroup PAC ID 4880080100, 15 clinicians

Practice addresses (Care Compare)

1047 S Wells St
Meridian, ID 83642-7997
Phone (208) 297-3428

915 W Linda Ave
Sisters, OR 97759-2514
Phone (208) 297-3428

9327 W Cory LN
Boise, ID 83704-6808
Phone (208) 297-3428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27530IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Haas Associates, LLC CurrentSince Feb 21, 2024 Accepting new patients
Bell Chemical Dependency Ounseling Inc. Past Accepting new patients

Locations

9327 W Cory Ln
Boise, ID 83704
Phone (208) 376-1300

999 W Main St
Ste 100
Boise, ID 83702
Phone (877) 707-1184

1047 S Wells St
Meridian, ID 83642
Phone (208) 398-3351

Organizations & group practices 2

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": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1396183596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 E 5TH ST",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836173606",
            "telephone_number": "208-866-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 E 5TH ST",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836173606",
            "telephone_number": "208-866-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "27530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "STEVENS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Emmett, ID

Sources for this page

Verify at the official NPI Registry.