Individual provider Active NPI

Jena Schildhauer, LCSW

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1447675244
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-37032 Issued in ID
Practice address
963 S Orchard St
Boise, ID 83705-1939
Phone
(208) 398-0504
NPI assigned
Mar 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW-32762 ID
Clinical Social Worker 1041C0700X LCSW-37032 ID Primary

Addresses

Primary practice location

963 S Orchard St
Boise, ID 83705-1939

Mailing address

4679 W Garden CT
Boise, ID 83705-3986
Phone (208) 899-2227

Other practice location 1

4679 W Garden Ct
Boise, ID 83705-3986
Phone (208) 899-2227

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
I20180626003089 ID Practitioner - Clinical Social Worker 9638424005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Noble IntentGroup PAC ID 2668837675, 6 clinicians

Practice addresses (Care Compare)

3501 W Elder St
Suite 300
Boise, ID 83705-4986
Phone (208) 286-1529

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-32762IDMDSocial Worker
LCSW-37032IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A New Approach Counseling LLC Current Accepting new patients
Noble Intent CurrentSince Mar 11, 2025 Accepting new patients
Noble Intent LLC Clinical CurrentSince Nov 1, 2020 Accepting new patients

Locations

3501 W Elder St
Ste 300
Boise, ID 83705
Phone (208) 286-1529

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": "1393804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1447675244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4679 W GARDEN CT",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837053986",
            "telephone_number": "208-899-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 S ORCHARD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051939",
            "telephone_number": "208-398-0504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4679 W Garden Ct",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837053986",
            "country_code": "US",
            "telephone_number": "208-899-2227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHILDHAUER",
        "first_name": "JENA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-32762",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-37032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.