Active NPI
Melissa A. Woods, LCSW
- Clinical Social Worker
- Kuna, ID
National Provider Identifier
1598944159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 28588
- Practice address
- 190 W. Main St.
Kuna, ID 83634-1792 - Phone
- (208) 922-9001
- Fax
- (208) 922-3778
- NPI assigned
- Oct 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 28588 | ID | Primary |
Addresses
Primary practice location
190 W. Main St.
Kuna, ID 83634-1792
Mailing address
PO Box 959
Kuna, ID 83634-0900
Phone (208) 922-1579
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806162000 | Medicaid | ID |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28588 | ID | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193788800000",
"number": "1598944159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 959",
"city": "KUNA",
"state": "ID",
"postal_code": "836340900",
"telephone_number": "208-922-1579",
"fax_number": "208-922-3778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 W. MAIN ST.",
"city": "KUNA",
"state": "ID",
"postal_code": "836341792",
"telephone_number": "208-922-9001",
"fax_number": "208-922-3778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "MELISSA",
"middle_name": "A.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-31",
"last_updated": "2007-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "28588",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806162000",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kuna, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.