Individual provider Active NPI

Paige McOmber, LCSW

  • Clinical Social Worker
  • Idaho Falls, ID
National Provider Identifier
1669230751
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8911313 Issued in ID
Practice address
2539 Channing Way Ste 101
Idaho Falls, ID 83404-7557
Phone
(208) 313-2886
NPI assigned
Mar 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8911313 ID Primary

Addresses

Primary practice location

2539 Channing Way Ste 101
Idaho Falls, ID 83404-7557

Mailing address

2634 N Azure Dr
Idaho Falls, ID 83401-5046
Phone (208) 313-2886

Other practice location 1

115 E 16th St
Idaho Falls, ID 83404-5919
Phone (208) 313-2886

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

LicenseStateTypeSpecialty
8911313IDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1669230751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2634 N AZURE DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015046",
            "telephone_number": "208-313-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2539 CHANNING WAY STE 101",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047557",
            "telephone_number": "208-313-2886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 E 16th St",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834045919",
            "country_code": "US",
            "telephone_number": "208-313-2886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCOMBER",
        "first_name": "PAIGE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "8911313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.