Active NPI
Janie Dawn Marley, LMSW
- Social Worker
- Chubbuck, ID
National Provider Identifier
1629450002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW 34900
- Practice address
- 4737 S. Afton PL
Chubbuck, ID 83202 - Phone
- (208) 417-0623
- NPI assigned
- Jun 23, 2015
- 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 | LMSW 34900 | ID | Primary |
Addresses
Primary practice location
4737 S. Afton PL
Chubbuck, ID 83202
Mailing address
1565 E Lincoln Rd
Idaho Falls, ID 83401-2129
Phone (208) 524-8974
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 |
|---|---|---|---|
| LMSW 34900 | ID | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1629450002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1565 E LINCOLN RD",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834012129",
"telephone_number": "208-524-8974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4737 S. AFTON PL",
"city": "CHUBBUCK",
"state": "ID",
"postal_code": "83202",
"telephone_number": "208-417-0623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARLEY",
"first_name": "JANIE",
"middle_name": "DAWN",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-23",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LMSW 34900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chubbuck, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.