Individual provider Active NPI

Maritza Romero

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1487146718
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW40792
Practice address
740 E Warm Springs Ave
Boise, ID 83712-6420
Phone
(208) 343-7797
NPI assigned
Jun 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW-37466 ID
Clinical Social Worker 1041C0700X LCSW40792 Primary

Addresses

Primary practice location

740 E Warm Springs Ave
Boise, ID 83712-6420

Mailing address

1887 S Annett St
Boise, ID 83705-4202
Phone (208) 890-0517

Other practice location 1

3350 W Americana Ter Ste 210B
Boise, ID 83706-2521
Phone (208) 890-0517

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-37466IDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Home Society of Idaho Past Accepting new patients
Children'S Home Society of Idaho Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1487146718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1887 S ANNETT ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837054202",
            "telephone_number": "208-890-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 E WARM SPRINGS AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126420",
            "telephone_number": "208-343-7797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3350 W Americana Ter Ste 210B",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837062521",
            "country_code": "US",
            "telephone_number": "208-890-0517",
            "fax_number": "208-623-8009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "MARITZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-37466",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "LCSW40792",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 3, 2021; 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.