Active NPI
Tabitha R Day, LMSW
- Social Worker
- Coeur D Alene, ID
National Provider Identifier
1629638846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW-38703
- Practice address
- 7905 N Meadowlark Way Ste E
Coeur D Alene, ID 83815-5041 - Phone
- (208) 772-3116
- NPI assigned
- Jun 19, 2019
- 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 | LMSW-38703 | ID | Primary |
Addresses
Primary practice location
7905 N Meadowlark Way Ste E
Coeur D Alene, ID 83815-5041
Mailing address
721 E Best Ave Apt 4
Coeur D Alene, ID 83814-4853
Phone (208) 641-9331
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251020001688 | ID | Practitioner - Clinical Social Worker | 2264920594 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Iron Roots Recovery and Mental Wellness LLC
Practice addresses (Care Compare)
2025 W Park PL
Suite 105
Coeur D Alene, ID 83814-2787
Phone (208) 771-7013
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-38703 | ID | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Through Connections LLC | Current | Accepting new patients | |
| Iron Roots Recovery & Mental Wellness, LLC | Current | Accepting new patients | |
| Rathdrum Counseling Center LLC | Past | Accepting new patients |
Locations
2025 W Park Pl
Ste 105
Coeur D Alene, ID 83814
Phone (208) 659-2049
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Coeur D Alene, ID
- NPI 1104626944
ID
-
- Clinical Social Worker
- Coeur D Alene, ID
- NPI 1073442711
-
- Community/Behavioral Health Agency
- Rathdrum, ID
- NPI 1437270097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560902400000",
"number": "1629638846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 E BEST AVE APT 4",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838144853",
"telephone_number": "208-641-9331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7905 N MEADOWLARK WAY STE E",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838155041",
"telephone_number": "208-772-3116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAY",
"first_name": "TABITHA",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-19",
"last_updated": "2019-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LMSW-38703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.