Active NPI
Alicia Juarez, LMSW
- Social Worker
- Nampa, ID
National Provider Identifier
1649416454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW25058
- Practice address
- 207 W Georgia Ave Ste 150
Nampa, ID 83686-3024 - Phone
- (208) 489-5700
- Fax
- (209) 489-4077
- NPI assigned
- Dec 29, 2008
- Last updated
- Dec 29, 2008
- 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 | LMSW25058 | ID | Primary |
Addresses
Primary practice location
207 W Georgia Ave Ste 150
Nampa, ID 83686-3024
Mailing address
207 W Georgia Ave Ste 150
Nampa, ID 83686-3024
Phone (208) 489-5700
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW25058 | ID | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230508800000",
"number": "1649416454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 W GEORGIA AVE STE 150",
"city": "NAMPA",
"state": "ID",
"postal_code": "836863024",
"telephone_number": "208-489-5700",
"fax_number": "209-489-4077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 W GEORGIA AVE STE 150",
"city": "NAMPA",
"state": "ID",
"postal_code": "836863024",
"telephone_number": "208-489-5700",
"fax_number": "209-489-4077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUAREZ",
"first_name": "ALICIA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-29",
"last_updated": "2008-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LMSW25058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.