Individual provider Active NPI

Tabitha R Day, LMSW

  • Social Worker
  • Coeur D Alene, ID
National Provider Identifier
1629638846
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW-38703 Issued in ID
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

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 5496246969, 3 clinicians

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

LicenseStateTypeSpecialty
LMSW-38703IDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Through Connections LLC Current Accepting new patients
Iron Roots Recovery & Mental Wellness, LLC CurrentSince Aug 24, 2025 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.

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

Verify at the official NPI Registry.