Patrick J Neeser, LCSW, MSW, CADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-1266 Issued in ID

Practice address

5440 W Franklin Rd
Ste 101
Boise, ID 83705-1079

Phone

(208) 336-9076

Fax

(208) 336-9079

NPI assigned

Apr 23, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ascent Behavioral Health Services

  • Community/Behavioral Health Agency
  • Boise, ID
  • NPI 1518036169
  NPD (past)

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1659546364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 11TH AVE E",
            "city": "GOODING",
            "state": "ID",
            "postal_code": "833305368",
            "telephone_number": "208-934-8461",
            "fax_number": "208-934-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 W FRANKLIN RD",
            "address_2": "STE 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051079",
            "telephone_number": "208-336-9076",
            "fax_number": "208-336-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEESER",
        "first_name": "PATRICK",
        "middle_name": "J",
        "credential": "LCSW, MSW, CADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-1266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Nebeker, R.D., L.D.
• Trudy Nebeker
• Alejandro J Necochea, MD
• Kimberly Needham
• Jeslyn Mashell Nees, BS, MA
• Hannah Nicole Conn Negangard, PA-C
• Negilski Center for Speech, Language and Hearing LLC
• Kristin K Negilski, MS CCC SLP
• Emily Mae Negron, NP
• Roberto A Negron, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.