Individual provider Active NPI

Renee Ours Bild, MSW

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1598725277
Registry record updated Mar 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1338 Issued in ID
Practice address
1718 W Jefferson St
Boise, ID 83702-3949
Phone
(208) 336-3031
Fax
(208) 336-3228
NPI assigned
Mar 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1338 ID Primary

Addresses

Primary practice location

1718 W Jefferson St
Boise, ID 83702-3949

Mailing address

1718 W Jefferson St
Boise, ID 83702-3949
Phone (208) 336-3031

Other names 1

  • Renee Lynne Ours Former name

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
1338IDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426291200000",
    "number": "1598725277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 W JEFFERSON ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837023949",
            "telephone_number": "208-336-3031",
            "fax_number": "208-336-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 W JEFFERSON ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837023949",
            "telephone_number": "208-336-3031",
            "fax_number": "208-336-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILD",
        "first_name": "RENEE",
        "middle_name": "OURS",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-25",
        "last_updated": "2015-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "1338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "OURS",
            "middle_name": "LYNNE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 14, 2015; 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.