Individual provider Active NPI

Gina Froman, LMSW

  • Social Worker
  • Meridian, ID
National Provider Identifier
1669847752
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
35321 Issued in ID
Practice address
2321 E Gala St Ste 3
Meridian, ID 83642-7692
Phone
(208) 888-5848
Fax
(208) 888-0884
NPI assigned
Dec 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 35321 ID Primary

Addresses

Primary practice location

2321 E Gala St Ste 3
Meridian, ID 83642-7692

Mailing address

2321 E Gala St Ste 3
Meridian, ID 83642-7692
Phone (208) 888-5848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201228002146 ID Practitioner - Clinical Social Worker 6406269026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midvalley Healthcare PLLCGroup PAC ID 0749327880, 17 clinicians

Practice addresses (Care Compare)

2321 E Gala St
Suite 3
Meridian, ID 83642-7692
Phone (208) 888-5848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35321IDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Midvalley Healthcare PLLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

303 N Allumbaugh St
Ste 335
Boise, ID 83704
Phone (208) 888-5848

2321 E Gala St
Ste 3
Meridian, ID 83642
Phone (208) 288-2280

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1669847752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 E GALA ST STE 3",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427692",
            "telephone_number": "208-888-5848",
            "fax_number": "208-888-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 E GALA ST STE 3",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427692",
            "telephone_number": "208-888-5848",
            "fax_number": "208-888-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROMAN",
        "first_name": "GINA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-01",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "35321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.