Individual provider Active NPI

Esther Nelson

  • Clinical Social Worker
  • Coeur d'Alene, ID
National Provider Identifier
1609352855
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-41400 Issued in ID
Practice address
1038 Northwest Blvd Ste 100
Coeur D Alene, ID 83814-2249
Phone
(208) 930-1740
NPI assigned
Jul 11, 2018
Last updated
May 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW-37742 ID
Clinical Social Worker 1041C0700X LCSW-41400 ID Primary

Addresses

Primary practice location

1038 Northwest Blvd Ste 100
Coeur D Alene, ID 83814-2249

Mailing address

1038 Northwest Blvd Ste 100
Coeur D Alene, ID 83814-2249

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
I20240307003815 ID Practitioner - Clinical Social Worker 5395111298 Reassigns benefits to 1 organization
Practice locations: Dalton Gardens, ID

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sandpoint Psychotherapy LLCGroup PAC ID 3072682061, 5 clinicians

Practice addresses (Care Compare)

506 N 4TH Ave
Sandpoint, ID 83864-1513
Phone (208) 263-5393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-37742IDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sandpoint Psychotherapy LLC CurrentSince Jan 22, 2024 Accepting new patients
Valiant Vitality, L.L.C. Clinical CurrentSince May 7, 2024 Accepting new patients
Healing Partners Equestrian Program Past Accepting new patients
Ambitions of Idaho, Inc. Past Accepting new patients

Locations

5920 N Government Way
Ste 10
Dalton Gardens, ID 83815
Phone (208) 449-5432

506 N Fourth Ave
Sandpoint, ID 83864
Phone (208) 263-5393

Organizations & group practices 4

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": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1609352855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 NORTHWEST BLVD STE 100",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 NORTHWEST BLVD STE 100",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142249",
            "telephone_number": "208-930-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ESTHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-37742",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-41400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.