Yisel Mendieta-Chavez, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1181231 Issued in ID

Practice address

10096 W Fairview Ave Ste 160
Boise, ID 83704-5004

Phone

(208) 908-7882

Fax

(208) 908-7883

NPI assigned

Dec 7, 2023

Last updated

Sep 9, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Avanzar Wellness LLC

  • Clinical Social Worker
  • Boise, ID
  • NPI 1871126797
  NPD (past)

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1437926607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10096 W FAIRVIEW AVE STE 160",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045004",
            "telephone_number": "208-908-7882",
            "fax_number": "208-908-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10096 W FAIRVIEW AVE STE 160",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045004",
            "telephone_number": "208-908-7882",
            "fax_number": "208-908-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDIETA-CHAVEZ",
        "first_name": "YISEL",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "1181231",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "ID",
            "license": "000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Melville, DO
• Derek Mencer
• Diana Menchaca, PH.D.
• Isabel Menchaca, LPC
• Kathie Claire Mendez-Shaw, CCC-SLP
• Natalie Minette Mendoza- Lopez
• Yessica Mendoza, LPC
• Nicole Menear, LPC
• Rhiana Shanthi Menen, MD
• Caleb Addai Mensah, MD

• Clinical Social Worker in Boise, ID
• Providers in Boise, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.