Active NPI
Jade D. Muntz, L.M.S.W
- Social Worker
- Caldwell, ID
National Provider Identifier
1457638801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 31641
- Practice address
- 201 N 21St Ave
Caldwell, ID 83605-4371 - Phone
- (208) 455-1222
- NPI assigned
- Nov 14, 2011
- Last updated
- Nov 14, 2011
- 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 | 31641 | ID | Primary |
Addresses
Primary practice location
201 N 21St Ave
Caldwell, ID 83605-4371
Mailing address
201 N 21St Ave
Caldwell, ID 83605-4371
Phone (208) 455-1222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31641 | ID | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abundance Behavioral Health Services Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Developmentally Disabled Services Day Training Agency
- Caldwell, ID
- NPI 1669775060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321228800000",
"number": "1457638801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N 21ST AVE",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836054371",
"telephone_number": "208-455-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N 21ST AVE",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836054371",
"telephone_number": "208-455-1222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNTZ",
"first_name": "JADE",
"middle_name": "D.",
"name_prefix": "Miss",
"credential": "L.M.S.W",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-14",
"last_updated": "2011-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "31641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caldwell, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.