Individual provider Active NPI

Erika Wassom

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1750205357
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4381914 Issued in ID
Practice address
1111 S Orchard St Ste 110
Boise, ID 83705-1961
Phone
(208) 919-4692
NPI assigned
Aug 6, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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 4381914 ID Primary

Addresses

Primary practice location

1111 S Orchard St Ste 110
Boise, ID 83705-1961

Mailing address

896 S Locust Grove Rd
Meridian, ID 83642-6204

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

NPI Registry JSON

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

{
    "created_epoch": "1785974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1750205357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "896 S LOCUST GROVE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S ORCHARD ST STE 110",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051961",
            "telephone_number": "208-919-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSOM",
        "first_name": "ERIKA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-08-06",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "4381914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.