Active NPI
Andrea Torrez, Ma, LCSW, LLC
- Community/Behavioral Health Agency
- Nampa, ID
National Provider Identifier
1467889170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- LCSW-30219
- Legal business name
- ANDREA TORREZ, MA, LCSW, LLC
- Practice address
- 17 12TH Ave S
Suite 207
Nampa, ID 83651-3952 - Phone
- (208) 350-8998
- NPI assigned
- Sep 26, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Noel Torrez, LCSW
- Title
- Owner
- Phone
- (208) 350-8998
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | LCSW-30219 | ID | Primary |
Addresses
Primary practice location
17 12TH Ave S
Suite 207
Nampa, ID 83651-3952
Mailing address
2488 W Washington Ave
Nampa, ID 83686-2677
Phone (208) 350-8998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140311000661 | ID | Part B Supplier - Clinic/Group Practice | 7911137054 |
Receives reassigned benefits from 2 practitioners Practice locations: Nampa, ID |
National Provider Directory
National Provider DirectoryLocations
17 12th Ave S
Ste 207
Nampa, ID 83651
Phone (208) 204-0014
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380153600000",
"number": "1467889170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2488 W WASHINGTON AVE",
"city": "NAMPA",
"state": "ID",
"postal_code": "836862677",
"telephone_number": "208-350-8998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 12TH AVE S",
"address_2": "SUITE 207",
"city": "NAMPA",
"state": "ID",
"postal_code": "836513952",
"telephone_number": "208-350-8998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDREA TORREZ, MA, LCSW, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-26",
"last_updated": "2013-09-26",
"status": "A",
"authorized_official_last_name": "TORREZ",
"authorized_official_first_name": "ANDREA",
"authorized_official_middle_name": "NOEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-350-8998",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "ID",
"license": "LCSW-30219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.