Active NPI
Child Family Solutions
- Clinical Social Worker
- Rigby, ID
National Provider Identifier
1730201039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-120
- Legal business name
- CHILD FAMILY SOLUTIONS
- Practice address
- 137 S State St
Rigby, ID 83442-1449 - Phone
- (208) 745-0150
- NPI assigned
- Apr 6, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Gary Wade, L.C.S.W.
- Title
- Clinical Director
- Phone
- (208) 745-0150
Corporate family (same tax ID) 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- Rigby, ID
- NPI 1144238247
-
- Clinical Social Worker
- Rigby, ID
- NPI 1487776787
National Provider Directory
National Provider Directory- Tax ID family
- Child Family Solutions
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-120 | ID | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
137 S State St
Rigby, ID 83442-1449
Mailing address
137 S State St
Rigby, ID 83442-1449
Phone (208) 745-0150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1730201039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 S STATE ST",
"city": "RIGBY",
"state": "ID",
"postal_code": "834421449",
"telephone_number": "208-745-0150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 S STATE ST",
"city": "RIGBY",
"state": "ID",
"postal_code": "834421449",
"telephone_number": "208-745-0150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILD FAMILY SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WADE",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "208-745-0150",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "L.C.S.W."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW-120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rigby, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.