Active NPI
Kelsea Stentzel, LMSW
- Social Worker
- Meridian, ID
National Provider Identifier
1407247034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW-34440
- Practice address
- 1650 S Topaz Way
Meridian, ID 83642-4474 - Phone
- (208) 888-3151
- NPI assigned
- Feb 18, 2015
- Last updated
- Feb 18, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW-34440 | ID | Primary |
Addresses
Primary practice location
1650 S Topaz Way
Meridian, ID 83642-4474
Mailing address
2936 E Iowa Ave
Nampa, ID 83686-6710
Phone (801) 361-4389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-34440 | ID | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424217600000",
"number": "1407247034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2936 E IOWA AVE",
"city": "NAMPA",
"state": "ID",
"postal_code": "836866710",
"telephone_number": "801-361-4389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 S TOPAZ WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836424474",
"telephone_number": "208-888-3151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STENTZEL",
"first_name": "KELSEA",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-18",
"last_updated": "2015-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LMSW-34440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.