Individual provider Active NPI

Ramatoulie Deen, LMSW

  • Social Worker
  • Boise, ID
National Provider Identifier
1437435948
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW-30579 Issued in ID
Practice address
5999 W State St
Suite B
Boise, ID 83703-5059
Phone
(208) 853-5095
Fax
(208) 583-5125
NPI assigned
Oct 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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 LMSW-30579 ID Primary

Addresses

Primary practice location

5999 W State St
Suite B
Boise, ID 83703-5059

Mailing address

178 W Indian Rocks St
Meridian, ID 83646-4981
Phone (208) 853-5095

Other names 1

  • Ramatoulie Jagne Former name

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
I20220728000322 ID Practitioner - Clinical Social Worker 5799906145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7285 W Franklin Rd
Boise, ID 83709-0926
Phone (208) 853-5095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-30579IDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tanta Inc CurrentSince Feb 25, 2026 Accepting new patients
Safe Connections, LLC. CurrentSince Mar 2, 2024 Accepting new patients
Kathy Matlock Tidwell Past Accepting new patients

Locations

7285 W Franklin Rd
Boise, ID 83709
Phone (208) 853-5095

413 W Idaho St
Ste 302
Boise, ID 83702
Phone (208) 333-8333

Organizations & group practices 3

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": "1319760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1437435948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 W INDIAN ROCKS ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836464981",
            "telephone_number": "208-853-5095",
            "fax_number": "208-853-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5999 W STATE ST",
            "address_2": "SUITE B",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837035059",
            "telephone_number": "208-853-5095",
            "fax_number": "208-583-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEN",
        "first_name": "RAMATOULIE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-28",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-30579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAMATOULIE",
            "last_name": "JAGNE",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.