Active NPI
Cynthia Stocker, LCSW
- Clinical Social Worker
- Challis, ID
National Provider Identifier
1649571993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LMSW-29303
- Practice address
- 721 E Main Ave Ste 7
Challis, ID 83226-9321 - Phone
- (208) 940-0331
- Fax
- (208) 876-2669
- NPI assigned
- Nov 3, 2010
- Reactivated
- Oct 22, 2026
- Last updated
- Oct 22, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LMSW-29303 | ID | Primary |
Addresses
Primary practice location
721 E Main Ave Ste 7
Challis, ID 83226-9321
Mailing address
120 Pahsimeroi Rd
Ellis, ID 83235-2000
Phone (208) 940-0331
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 |
|---|---|---|---|
| LMSW-29303 | ID | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792627200000",
"number": "1649571993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 PAHSIMEROI RD",
"city": "ELLIS",
"state": "ID",
"postal_code": "832352000",
"telephone_number": "208-940-0331",
"fax_number": "208-756-2354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 E MAIN AVE STE 7",
"city": "CHALLIS",
"state": "ID",
"postal_code": "832269321",
"telephone_number": "208-940-0331",
"fax_number": "208-876-2669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCKER",
"first_name": "CYNTHIA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-03",
"last_updated": "2026-10-22",
"certification_date": "2022-09-01",
"deactivation_date": "2022-09-01",
"reactivation_date": "2026-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LMSW-29303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Challis, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.