Individual provider Active NPI

Elizabeth Augustine, LCSW

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1477976116
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-36212 Issued in ID
Practice address
777 S Latah St # 108
Boise, ID 83705-1501
Phone
(208) 398-0131
NPI assigned
Jan 31, 2014
Last updated
May 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW-33552 ID
Clinical Social Worker 1041C0700X NU
Clinical Social Worker 1041C0700X LCSW-36212 ID Primary

Addresses

Primary practice location

777 S Latah St # 108
Boise, ID 83705-1501

Mailing address

777 S Latah St # 108
Boise, ID 83705-1501
Phone (206) 913-7311

Other practice location 1

1226 W River St
Boise, ID 83702-7049
Phone (208) 331-1155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161130002606 ID Practitioner - Clinical Social Worker 6901186329 Practice locations: Boise, ID

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

777 S Latah St
Suite 108
Boise, ID 83705-1501
Phone (208) 398-0131

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
81.29
Promoting interoperability
100
Improvement activities
40
Cost
76.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-33552IDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Augustine Behavioral Health LLC Clinical CurrentSince Jul 5, 2025 Accepting new patients

Locations

777 S Latah St
Ste 108
Boise, ID 83705
Phone (208) 398-0131

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.

NPI Registry JSON

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1477976116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 S LATAH ST # 108",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051501",
            "telephone_number": "206-913-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S LATAH ST # 108",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051501",
            "telephone_number": "208-398-0131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1226 W River St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837027049",
            "country_code": "US",
            "telephone_number": "208-331-1155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUGUSTINE",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-31",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-33552",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-36212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.