Active NPI
Kade Martin Jensen, LCSW
- Clinical Social Worker
- Meridian, ID
National Provider Identifier
1699603688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8861820
- Practice address
- 2321 E Gala St Ste 3
Meridian, ID 83642-7692 - Phone
- (208) 888-5848
- Fax
- (208) 888-0884
- NPI assigned
- May 11, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8861820 | 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | PracticeFusion | Other | MidValley Healthcare PLLC |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260621000140 | ID | Order and Referring Only - Clinical Social Worker | 7719450840 |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2321 E Gala St
Suite 3
Meridian, ID 83642-7692
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8861820 | ID | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1699603688",
"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": "JENSEN",
"first_name": "KADE",
"middle_name": "MARTIN",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-11",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "8861820",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "PracticeFusion",
"affiliation": "Y",
"affiliationName": "MidValley Healthcare PLLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "EMR",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "PDF",
"address_1": "2321 E Gala St Ste 3",
"city": "Meridian",
"state": "ID",
"country_code": "US",
"postal_code": "836427692",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.