Wesley Robert Farrens, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW-38649 Issued in ID

Practice address

855 N Capital Ave Ste 2
Idaho Falls, ID 83402-3405

Phone

(208) 552-0855

NPI assigned

Nov 21, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• New Horizons Mental Wellness Clinics PLLC

  • Case Management Registered Nurse
  • Pocatello, ID
  • NPI 1285029496
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1629614987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 N CAPITAL AVE STE 2",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023405",
            "telephone_number": "208-552-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 N CAPITAL AVE STE 2",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023405",
            "telephone_number": "208-552-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRENS",
        "first_name": "WESLEY",
        "middle_name": "ROBERT",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-38649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Famliy Dental Health Center
• Floyd Joseph Fantelli, MD
• Darla Jane Faraday, PH.D.
• Rebecca Lynn Farmer, MA
• Preston Scott Farnsworth, RN
• Katrina Davis Favero, CRNA
• Collin M Fehr, EDD
• Melissa Phillips Fehrenbacker, FNP-BC
• Jessica Feith
• Lauri W. Felts, MS, CCC-SLP

• Social Worker in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.