Individual provider Active NPI

Kathleen Carmel George, LCSW

  • Social Worker
  • Boise, ID
National Provider Identifier
1396377016
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCSW-44143 Issued in ID
Practice address
9196 W Barnes Dr
Boise, ID 83709-1552
Phone
(208) 433-0400
Fax
(208) 433-5271
NPI assigned
Feb 11, 2020
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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 LCSW-44143 ID Primary

Addresses

Primary practice location

9196 W Barnes Dr
Boise, ID 83709-1552

Mailing address

9196 W Barnes Dr
Boise, ID 83709-1552
Phone (208) 433-0400

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
I20250718003498 ID Practitioner - Clinical Social Worker 9032625843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Directors of Idaho PLLCGroup PAC ID 1951628544, 19 clinicians

Practice addresses (Care Compare)

900 N Happy Valley Rd
Nampa, ID 83687-8596
Phone (208) 401-9639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-38707IDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Directors of Idaho PLLC CurrentSince Jan 15, 2026 Accepting new patients
Raise the Bottom Training & Counseling Services, LLC CurrentSince May 17, 2025 Accepting new patients

Locations

909 E Reserve St
Boise, ID 83712
Phone (208) 343-7717

9196 W Barnes Dr
Boise, ID 83709
Phone (208) 433-0400

2867 E Copper Point Dr
Meridian, ID 83642
Phone (208) 401-9100

900 N Happy Valley Rd
Nampa, ID 83687
Phone (208) 206-0261

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": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1396377016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9196 W BARNES DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091552",
            "telephone_number": "208-433-0400",
            "fax_number": "208-433-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9196 W BARNES DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091552",
            "telephone_number": "208-433-0400",
            "fax_number": "208-433-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "KATHLEEN",
        "middle_name": "CARMEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LCSW-44143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.