Individual provider Active NPI

Matthew Thorusen, LCSW

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1740782523
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-40477 Issued in ID
Practice address
8675 W Ardene St
Boise, ID 83709-2601
Phone
(208) 780-3900
Fax
(208) 375-2882
NPI assigned
Mar 7, 2018
Last updated
Oct 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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-40477 ID Primary

Addresses

Primary practice location

8675 W Ardene St
Boise, ID 83709-2601

Mailing address

8675 W Ardene St
Boise, ID 83709-2601
Phone (208) 780-3900

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
I20230613000864 ID Practitioner - Clinical Social Worker 4284091810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifepath Services LLCGroup PAC ID 9638487515, 8 clinicians

Practice addresses (Care Compare)

8675 W Ardene St
Boise, ID 83709-2601
Phone (208) 780-3902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1740782523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8675 W ARDENE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837092601",
            "telephone_number": "208-780-3900",
            "fax_number": "208-375-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8675 W ARDENE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837092601",
            "telephone_number": "208-780-3900",
            "fax_number": "208-375-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORUSEN",
        "first_name": "MATTHEW",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-07",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-40477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.