NPIMap

Organization Active NPI

Free & Well

  • Clinical Social Worker
  • Post Falls, ID
National Provider Identifier
1497561351
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FREE & WELL
Practice address
784 S Clearwater Loop Ste R
Post Falls, ID 83854-9599
Phone
(208) 254-0546
NPI assigned
Dec 5, 2024
Last updated
Dec 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Devoney Taylor Kodad, LCSWNPI 1265941686
Title
Ceo
Phone
(208) 254-0546

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)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

784 S Clearwater Loop Ste R
Post Falls, ID 83854-9599

Mailing address

PO Box 574
Meridian, ID 83680-0574
Phone (208) 254-0546

National Provider Directory

National Provider Directory

Locations

784 W Clear Water Loop
Post Falls, ID 83854
Phone (206) 317-1200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1497561351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 574",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836800574",
            "telephone_number": "208-254-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 S CLEARWATER LOOP STE R",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838549599",
            "telephone_number": "208-254-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE & WELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "KODAD",
        "authorized_official_first_name": "DEVONEY",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-254-0546",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.