Amy K Jeppesen, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-27936 Issued in ID

Practice address

8950 W Emerald St
Suite 178
Boise, ID 83704-4854

Phone

(208) 376-7083

Fax

(208) 321-5069

NPI assigned

Oct 31, 2008

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356566400000",
    "number": "1467605642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 W EMERALD ST",
            "address_2": "SUITE 178",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044854",
            "telephone_number": "208-376-7083",
            "fax_number": "208-321-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 W EMERALD ST",
            "address_2": "SUITE 178",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044854",
            "telephone_number": "208-376-7083",
            "fax_number": "208-321-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEPPESEN",
        "first_name": "AMY",
        "middle_name": "K",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2012-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "UT",
            "license": "374774-3501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-27936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Jentzsch, PA-C
• Chang Hoon Jeon, MSOM, MPH, DHS, PHD
• Eunice Yeonseung Jeon, L.AC.
• Jeon's Acupuncture, Health Education & Natural Medicine Center, Inc
• Reed Austin Jeppe, PHARM D
• John D Jeppson, MD
• Jessica Jerdin, PA-C
• Jeremy Handy, M.D., PLLC
• Jeremy Toomey, MD PLLC
• Rebecca L Jergenson, DC, EMT

• 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 Dec 27, 2012; 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.