Active NPI
Lennard Zylstra
- Clinical Social Worker
- Moscow, ID
National Provider Identifier
1407808728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW36732
- Practice address
- 317 W 6TH St Ste 208
Moscow, ID 83843-2387 - Phone
- (208) 882-3504
- Fax
- (877) 935-2107
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW36732 | ID | Primary |
Addresses
Primary practice location
317 W 6TH St Ste 208
Moscow, ID 83843-2387
Mailing address
317 W 6TH St Ste 208
Moscow, ID 83843-2387
Phone (208) 882-3504
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
317 W 6TH St
Suite 208
Moscow, ID 83843-2387
Phone (208) 882-3504
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW36732 | ID | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott Community Care, PLLC | Current | Accepting new patients | |
| David W Agnor PHD PC Dba Senior Connections | Clinical | Past | Accepting new patients |
Locations
317 W 6th St
Ste 208
Moscow, ID 83843
Phone (208) 882-3504
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 and National Provider Directory roles.
-
- Professional Counselor
- Moscow, ID
- NPI 1356644769
-
- Clinical Psychologist
- Vancouver, WA
- NPI 1356652044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1407808728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 W 6TH ST STE 208",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838432387",
"telephone_number": "208-882-3504",
"fax_number": "877-935-2107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 W 6TH ST STE 208",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838432387",
"telephone_number": "208-882-3504",
"fax_number": "877-935-2107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZYLSTRA",
"first_name": "LENNARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW36732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moscow, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.