Active NPI
Anne Padilla, LMSW
- Social Worker
- Boise, ID
National Provider Identifier
1477171643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 26495
- Practice address
- 8100 W Emerald St Ste 150
Boise, ID 83704-9057 - Phone
- (208) 908-6399
- NPI assigned
- Jul 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 26495 | ID | Primary |
Addresses
Primary practice location
8100 W Emerald St Ste 150
Boise, ID 83704-9057
Mailing address
509 S Sierra Dr
Boise, ID 83705-1555
Phone (208) 272-0593
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LMSW-26495 | Other | ID | IDAHON BUREAU OF OCCUPATIONAL LICENSES |
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 |
|---|---|---|---|
| 26495 | ID | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594598400000",
"number": "1477171643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 S SIERRA DR",
"city": "BOISE",
"state": "ID",
"postal_code": "837051555",
"telephone_number": "208-272-0593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 W EMERALD ST STE 150",
"city": "BOISE",
"state": "ID",
"postal_code": "837049057",
"telephone_number": "208-908-6399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA",
"first_name": "ANNE",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-13",
"last_updated": "2020-07-13",
"certification_date": "2020-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": "ID",
"license": "26495",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDAHON BUREAU OF OCCUPATIONAL LICENSES",
"identifier": "LMSW-26495",
"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 Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.