Active NPI
Sangam Stanczak
- Social Worker
- Boise, ID
National Provider Identifier
1649063207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 7171769
- Practice address
- 413 W Idaho St Ste 302
Boise, ID 83702-6066 - Phone
- (626) 319-8906
- NPI assigned
- May 27, 2025
- Sex
- Unspecified or another gender identity
- 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 | 7171769 | ID | Primary |
Addresses
Primary practice location
413 W Idaho St Ste 302
Boise, ID 83702-6066
Mailing address
413 W Idaho St Ste 302
Boise, ID 83702-6066
Phone (626) 319-8906
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 |
|---|---|---|---|
| 7171769 | ID | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Connections, LLC. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Boise, ID
- NPI 1336915396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1649063207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 W IDAHO ST STE 302",
"city": "BOISE",
"state": "ID",
"postal_code": "837026066",
"telephone_number": "626-319-8906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 W IDAHO ST STE 302",
"city": "BOISE",
"state": "ID",
"postal_code": "837026066",
"telephone_number": "626-319-8906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANCZAK",
"first_name": "SANGAM",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-05-27",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "7171769",
"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 May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.