Individual provider Active NPI

Gena Hunsaker, LSCW

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1700249000
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-35478 Issued in ID
Practice address
1005 E Park Blvd
Boise, ID 83712-7722
Phone
(208) 614-1602
Fax
(208) 593-4586
NPI assigned
Apr 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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 LCSW-35478 ID Primary

Addresses

Primary practice location

1005 E Park Blvd
Boise, ID 83712-7722

Mailing address

702 S Pearl St
Boise, ID 83705-1764
Phone (208) 614-1602

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
I20210726001213 ID Practitioner - Clinical Social Worker 9133522386 Practice locations: Boise, ID; Caldwell, ID

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1005 E Park Blvd
Boise, ID 83712-7722
Phone (208) 614-1602

211 E Logan St
Suite 303
Caldwell, ID 83605-6564
Phone (208) 614-1602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-35478IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
West Valley Medical Group LLC CurrentSince Aug 1, 2021 Accepting new patients
Caldwell Internal Medicine Professional Association PastSince Aug 1, 2021 Accepting new patients

Locations

211 E Logan St
Ste 300
Caldwell, ID 83605

211 E Logan St
Ste 303
Caldwell, ID 83605
Phone (208) 250-2834

Organizations & group practices 2

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": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1700249000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 S PEARL ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051764",
            "telephone_number": "208-614-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 E PARK BLVD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837127722",
            "telephone_number": "208-614-1602",
            "fax_number": "208-593-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNSAKER",
        "first_name": "GENA",
        "name_prefix": "Ms.",
        "credential": "LSCW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-35478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.