Active NPI
Justin Walker, LCSW
- Clinical Social Worker
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-35317
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
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 | 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-35317 | ID | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways of Idaho, LLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.