Kate Jacqueline Jesenko, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

43039 Issued in ID

Practice address

3501 W Elder St
Boise, ID 83705-4986

Phone

(208) 286-1529

NPI assigned

Jan 18, 2023

Last updated

Jan 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Noble Intent LLC

  dba Noble Intent Continuum of Care Programs

  • Clinical Social Worker
  • Boise, ID
  • NPI 1174155741
  NPD (past)

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1568177145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 W GAVIN ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837035867",
            "telephone_number": "541-519-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 W ELDER ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837054986",
            "telephone_number": "208-286-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESENKO",
        "first_name": "KATE",
        "middle_name": "JACQUELINE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "43039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Handy, M.D., PLLC
• Jeremy Toomey, MD PLLC
• Rebecca L Jergenson, DC, EMT
• Desiree Jerome, LMT
• Susan Jerome, NP
• Jesse Tangen LCSW Counseling PLLC
• Rachel Jessen, LCSW
• Jessica Maitri, LCSW PLLC Dba Yothera LLC (Yothera LLC)
• Alice Rachel Jessup
• Jewel Osco Southwest LLC

• 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 Jan 18, 2023; 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.