Individual provider Active NPI

Ali Shields, LCSW

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1699412304
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-45066 Issued in ID
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

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251219003459 ID Practitioner - Clinical Social Worker 9133614787 Reassigns benefits to 1 organization

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
Haas Associates, LLCGroup PAC ID 4880080100, 15 clinicians

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

LicenseStateTypeSpecialty
LMSW-37156IDMDSocial Worker
LCSW-45066IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Haas Associates, LLC CurrentSince Oct 4, 2025 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.

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

Verify at the official NPI Registry.