Active NPI
Merrill Bading
- Social Worker
- Boise, ID
National Provider Identifier
1649631318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCSW-34216
- Practice address
- 1414 W Franklin St
Boise, ID 83702-5023 - Phone
- (208) 615-2670
- NPI assigned
- Mar 9, 2016
- Last updated
- Dec 15, 2023
- 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 | LCSW-34216 | ID | Primary |
Addresses
Primary practice location
1414 W Franklin St
Boise, ID 83702-5023
Mailing address
9169 W State St Ste 321
Garden City, ID 83714-1733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 1, 2023 through Dec 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-34216 | ID | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1649631318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9169 W STATE ST STE 321",
"city": "GARDEN CITY",
"state": "ID",
"postal_code": "837141733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 W FRANKLIN ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837025023",
"telephone_number": "208-615-2670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADING",
"first_name": "MERRILL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-09",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LCSW-34216",
"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 Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.