Individual provider Active NPI

Andrea Noel Torrez, MS, LCSW

  • Clinical Social Worker
  • Nampa, ID
National Provider Identifier
1710288014
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-30219 Issued in ID
Practice address
17 12TH Ave S
Suite 207
Nampa, ID 83651-3952
Phone
(208) 350-8998
NPI assigned
Nov 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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-30219 ID Primary

Addresses

Primary practice location

17 12TH Ave S
Suite 207
Nampa, ID 83651-3952

Mailing address

2488 W Washington Ave
Suite 150
Nampa, ID 83686-2677
Phone (208) 287-9420

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
I20110707000231 ID Practitioner - Clinical Social Worker 4183802028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrea Torrez Ma LCSW LLCGroup PAC ID 7911137054, 2 clinicians

Practice addresses (Care Compare)

17 12TH Ave S
Suite 207
Nampa, ID 83651-3952
Phone (208) 350-8998

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LCSW-30219IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Andrea Torrez, Ma, LCSW, LLC CurrentSince Sep 1, 2013 Accepting new patients

Locations

17 12th Ave S
Ste 207
Nampa, ID 83651
Phone (208) 204-0014

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": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1710288014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 W WASHINGTON AVE",
            "address_2": "SUITE 150",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836862677",
            "telephone_number": "208-287-9420",
            "fax_number": "208-287-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 12TH AVE S",
            "address_2": "SUITE 207",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513952",
            "telephone_number": "208-350-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORREZ",
        "first_name": "ANDREA",
        "middle_name": "NOEL",
        "credential": "MS, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-03",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-30219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.