Active NPI
Jeanne Melton, MSW
- Social Worker
- Boise, ID
National Provider Identifier
1619986957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCSW 208
- Practice address
- 6003 W Overland Rd Ste 105
Boise, ID 83709-3075 - Phone
- (208) 345-8861
- Fax
- (209) 345-2077
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LCSW 208 | ID | Primary |
Addresses
Primary practice location
6003 W Overland Rd Ste 105
Boise, ID 83709-3075
Mailing address
6003 W Overland Rd Ste 105
Boise, ID 83709-3075
Phone (208) 345-8861
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW 208 | ID | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619986957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6003 W OVERLAND RD STE 105",
"city": "BOISE",
"state": "ID",
"postal_code": "837093075",
"telephone_number": "208-345-8861",
"fax_number": "209-345-2077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6003 W OVERLAND RD STE 105",
"city": "BOISE",
"state": "ID",
"postal_code": "837093075",
"telephone_number": "208-345-8861",
"fax_number": "209-345-2077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELTON",
"first_name": "JEANNE",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LCSW 208",
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.