Active NPI
Haley Cardenas, LMSW
- Clinical Social Worker
- Lewiston, ID
National Provider Identifier
1730820291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LMSW42051
- Practice address
- 4066 Lucky LN
Lewiston, ID 83501-7025 - Phone
- (208) 746-3398
- Fax
- (208) 798-1601
- NPI assigned
- Apr 6, 2022
- Last updated
- Apr 6, 2022
- Sex
- Female
- Sole proprietor
- No
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 | LMSW42051 | ID | Primary |
Addresses
Primary practice location
4066 Lucky LN
Lewiston, ID 83501-7025
Mailing address
1136 University St
Clarkston, WA 99403-2583
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW42051 | ID | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1730820291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1136 UNIVERSITY ST",
"city": "CLARKSTON",
"state": "WA",
"postal_code": "994032583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4066 LUCKY LN",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835017025",
"telephone_number": "208-746-3398",
"fax_number": "208-798-1601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDENAS",
"first_name": "HALEY",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-06",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LMSW42051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ID
- Brittany Campbell
- Kimberly Jordan Campbell, M.D.
- Shannon D Campbell, ATC/L
- Lillian Francine Caradine, MA,LPC
- Natale Carasali, MD
- Care Center (Lewiston) Inc. (The Orchards Rehabilitation & Care Center)
- Care Connection Home Care
- John W Carlisle, MD
- Mellissa Thell Carman, DOULA
- Carmine Petracca (Bryden Family Vision)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.