Individual provider Active NPI

Justin Walker, LCSW

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1609234640
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-35317 Issued in ID
Practice address
545 N Benjamin LN Ste 185
Boise, ID 83704-9625
Phone
(208) 724-6737
NPI assigned
Feb 5, 2016
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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 LCSW-35317 ID Primary

Addresses

Primary practice location

545 N Benjamin LN Ste 185
Boise, ID 83704-9625

Mailing address

3479 E Berghan St
Meridian, ID 83642-5712
Phone (208) 724-6737

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
I20260212004002 ID Practitioner - Clinical Social Worker 2264912914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

545 N Benjamin LN
Suite 185
Boise, ID 83704-9625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-35317IDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways of Idaho, LLC CurrentSince Dec 16, 2025 Accepting new patients

Locations

545 N Benjamin Ln
Ste 185
Boise, ID 83704
Phone (208) 322-1026

204 10th Ave S
Nampa, ID 83651
Phone (208) 461-6523

10304 Spotsylvania Ave
Ste 300
Fredericksburg, VA 22408
Phone (540) 710-6085

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1609234640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3479 E BERGHAN ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425712",
            "telephone_number": "208-724-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 N BENJAMIN LN STE 185",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049625",
            "telephone_number": "208-724-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JUSTIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-05",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-35317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.