Individual provider Active NPI

Jacqueline Taylor, LMSW

  • Clinical Social Worker
  • Nampa, ID
National Provider Identifier
1437429222
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-34725 Issued in ID
Practice address
232 2ND St S
Nampa, ID 83651-3709
Phone
(208) 453-8915
Fax
(208) 453-8937
NPI assigned
Jan 10, 2012
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LMSW-25975 ID
Clinical Social Worker 1041C0700X LCSW-34725 ID Primary

Addresses

Primary practice location

232 2ND St S
Nampa, ID 83651-3709

Mailing address

502 7TH St S
Nampa, ID 83651-4165

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
I20151028000479 ID Practitioner - Clinical Social Worker 5597074872 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians
Starr Family Behavioral Health LLCGroup PAC ID 8123390317, 3 clinicians

Practice addresses (Care Compare)

136 N Broadmore Way
Suite 103
Nampa, ID 83687-5187
Phone (855) 284-7483

8100 W Emerald St
Suite 150
Boise, ID 83704-9057
Phone (208) 908-6399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-34725IDMDClinical Social Worker
LMSW-25975IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Feb 10, 2025 Accepting new patients
Starr Family Behavioral Health Past Accepting new patients

Locations

136 N Broadmore Way
Ste 103
Nampa, ID 83687
Phone (571) 554-1147

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 4

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": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1437429222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 7TH ST S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836514165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 2ND ST S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513709",
            "telephone_number": "208-453-8915",
            "fax_number": "208-453-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JACQUELINE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-10",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LMSW-25975",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-34725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.