Individual provider Active NPI

Ginna Minervini, LCSW

  • Clinical Social Worker
  • Sandpoint, ID
National Provider Identifier
1407903149
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-24438 Issued in ID
Practice address
803 N Monroe Ave
Sandpoint, ID 83864-2151
Phone
(208) 263-8948
Fax
(208) 265-1779
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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 LCSW-24438 ID Primary

Addresses

Primary practice location

803 N Monroe Ave
Sandpoint, ID 83864-2151

Mailing address

803 N Monroe Ave
Sandpoint, ID 83864-2151
Phone (208) 263-8948

Other identifiers 1

IdentifierTypeStateIssuer
806822100MedicaidID

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
I20070831000380 ID Practitioner - Clinical Social Worker 8022101310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

803 N Monroe Ave
Sandpoint, ID 83864-2151
Phone (208) 263-8948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-24438IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North Idaho Children'S Mental Health, PLLC. Clinical Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1407903149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 N MONROE AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838642151",
            "telephone_number": "208-263-8948",
            "fax_number": "208-265-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 N MONROE AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838642151",
            "telephone_number": "208-263-8948",
            "fax_number": "208-265-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINERVINI",
        "first_name": "GINNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-24438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806822100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

Verify at the official NPI Registry.