Family Practice Medical

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LCSW-24633 Issued in ID

Legal business name

FAMILY PRACTICE MEDICAL

Practice address

777 N Raymond St
Boise, ID 83704-9251

Phone

(208) 367-6030

NPI assigned

Apr 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Tom C Ahlrichs, LCSWNPI 1013135078

Title

Social Worker

Phone

(208) 367-6030

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tom C Ahlrichs, LCSW

  • Clinical Social Worker
  • Boise, ID
  • NPI 1013135078
  Authorized official Same address or phone

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649392200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6318 BERMUDA DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091009",
            "telephone_number": "208-378-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 N RAYMOND ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049251",
            "telephone_number": "208-367-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AHLRICHS",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "208-367-6030",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LCSW-24633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Care Clinic
• Family Care Clinic LLC
• Family Care Clinic, LLC
• Family Connection, Inc. (Family Connections, Inc.)
• Family First Home Care LLC
• Family Practice Residency of Idaho, Inc (Family Practice Medical Center)
• Alexi Dimitrios Fanopoulos, LMSW
• Amy Faragher, LPC
• Kaylin Faranda, MS, GC
• Susan L Farber, PHD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.