Organization Active NPI

Child Family Solutions

  • Clinical Social Worker
  • Rigby, ID
National Provider Identifier
1730201039
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-120 Issued in ID
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.

National Provider Directory

National Provider Directory
Tax ID family
Child Family Solutions (3 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LCSW-120 ID Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.