Active NPI
Ali Shields, LCSW
- Clinical Social Worker
- Boise, ID
National Provider Identifier
1699412304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-45066
- Practice address
- 5685 S Santa Cruz Way
Boise, ID 83709-5164 - Phone
- (208) 371-7832
- NPI assigned
- May 14, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW-37156 | ID | |
| Clinical Social Worker | 1041C0700X | LCSW-45066 | ID | Primary |
Addresses
Primary practice location
5685 S Santa Cruz Way
Boise, ID 83709-5164
Mailing address
5685 S Santa Cruz Way
Boise, ID 83709-5164
Phone (208) 371-7832
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/A |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1047 S Wells St
Meridian, ID 83642-7997
Phone (208) 297-3428
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-37156 | ID | MD | Social Worker |
| LCSW-45066 | ID | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haas Associates, LLC | Current | Accepting new patients |
Locations
9327 W Cory Ln
Boise, ID 83704
Phone (208) 376-1300
1047 S Wells St
Meridian, ID 83642
Phone (208) 398-3351
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Meridian, ID
- NPI 1497406904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743638400000",
"number": "1699412304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5685 S SANTA CRUZ WAY",
"city": "BOISE",
"state": "ID",
"postal_code": "837095164",
"telephone_number": "208-371-7832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5685 S SANTA CRUZ WAY",
"city": "BOISE",
"state": "ID",
"postal_code": "837095164",
"telephone_number": "208-371-7832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIELDS",
"first_name": "ALI",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-14",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LMSW-37156",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW-45066",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/A",
"affiliation": "N",
"address_1": "5685 S Santa Cruz Way",
"city": "Boise",
"state": "ID",
"country_code": "US",
"postal_code": "837095164",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.