Jeffrey Delfico, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW-40076 Issued in ID

Practice address

750 E Warm Springs Ave
Boise, ID 83712-6475

Phone

(208) 918-4296

NPI assigned

Apr 25, 2022

Last updated

Apr 25, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1487398541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 E JEFFERSON ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126480",
            "telephone_number": "808-384-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E WARM SPRINGS AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126475",
            "telephone_number": "208-918-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELFICO",
        "first_name": "JEFFREY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-40076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeff@sugarpinecounseling.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "750 E Warm Springs Ave",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837126475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Juan Carlos Delatorre, M.D.
• Bruce Delawyer
• David Dean Delawyer, PHD
• Joshua Jon Delbusso, RN
• Robin Jackson Deleon, MD
• Spencer Delfino, MD
• Zana Delic, PA
• Deme Dellairo, LCSW
• Delray Maughan, M.D. PLLC
• Lisa Marie Deluca, LPC, NCC

• Social Worker in Boise, ID
• Providers in Boise, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.