Individual provider Active NPI

Brenda Dee, LCSW

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1609201151
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW34459 Issued in ID
Practice address
5460 W Franklin Rd Ste I
Boise, ID 83705-1080
Phone
(208) 378-9636
Fax
(208) 485-9826
NPI assigned
Sep 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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 LCSW34459 ID Primary

Addresses

Primary practice location

5460 W Franklin Rd Ste I
Boise, ID 83705-1080

Mailing address

5460 W Franklin Rd Ste I
Boise, ID 83705-1080
Phone (208) 378-9636

Other identifiers 1

IdentifierTypeStateIssuer
1609201151MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150609002422 ID Practitioner - Clinical Social Worker 4789905274 Reassigns benefits to 1 organization
Practice locations: Boise, ID

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7229 W Franklin Rd
Boise, ID 83709-0909
Phone (208) 378-9636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW34459IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Behavioral Health Incorporated Clinical CurrentSince May 1, 2020 Accepting new patients
Mountain View Behavioral Health, PLLC Community/Behavioral Health Past Accepting new patients

Locations

4750 N Five Mile Rd
Boise, ID 83713
Phone (208) 375-0500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1609201151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 W FRANKLIN RD STE I",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051080",
            "telephone_number": "208-378-9636",
            "fax_number": "208-485-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 W FRANKLIN RD STE I",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051080",
            "telephone_number": "208-378-9636",
            "fax_number": "208-485-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEE",
        "first_name": "BRENDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2024-02-27",
        "certification_date": "2023-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW34459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609201151",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.