Active NPI
Brooke E Bailey, LMSW
- Social Worker
- Meridian, ID
National Provider Identifier
1619745965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44467
- Practice address
- 3288 E Pine Ave
Meridian, ID 83642-5922 - Phone
- (208) 888-8886
- NPI assigned
- Dec 15, 2023
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 44467 | ID | Primary |
Addresses
Primary practice location
3288 E Pine Ave
Meridian, ID 83642-5922
Mailing address
1875 N 27TH St
Boise, ID 83702-0137
Phone (307) 259-6252
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44467 | ID | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foothills Counseling & Wellness LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Boise, ID
- NPI 1922467976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1619745965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1875 N 27TH ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837020137",
"telephone_number": "307-259-6252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3288 E PINE AVE",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836425922",
"telephone_number": "208-888-8886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "BROOKE",
"middle_name": "E",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-15",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "44467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.