Active NPI
Kapka Zlatkova Smith, LMSW
- Social Worker
- Boise, ID
National Provider Identifier
1447758990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW-37069
- Practice address
- 7711 W Riverside Dr
Boise, ID 83714-6182 - Phone
- (208) 853-8536
- NPI assigned
- Jan 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW-37069 | ID | Primary |
Addresses
Primary practice location
7711 W Riverside Dr
Boise, ID 83714-6182
Mailing address
7711 W Riverside Dr
Boise, ID 83714-6182
Phone (208) 853-8536
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LMSW-37069 | Other | ID | BUREAU OF OCCUPATIONAL LICENSES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-37069 | ID | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1447758990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7711 W RIVERSIDE DR",
"city": "BOISE",
"state": "ID",
"postal_code": "837146182",
"telephone_number": "208-853-8536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7711 W RIVERSIDE DR",
"city": "BOISE",
"state": "ID",
"postal_code": "837146182",
"telephone_number": "208-853-8536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KAPKA",
"middle_name": "ZLATKOVA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-30",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LMSW-37069",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUREAU OF OCCUPATIONAL LICENSES",
"identifier": "LMSW-37069",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.