Active NPI
Deborah Ann Ray, LCSW
- Clinical Social Worker
- Boise, ID
National Provider Identifier
1790213957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-36104
- Practice address
- 3350 W Americana Ter Ste 210B
Boise, ID 83706-2521 - Phone
- (512) 809-8541
- NPI assigned
- May 31, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | LCSW-36104 | ID | Primary |
Addresses
Primary practice location
3350 W Americana Ter Ste 210B
Boise, ID 83706-2521
Mailing address
3181 N Mountain View Dr
Boise, ID 83704-6244
Phone (512) 809-8541
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-36104 | ID | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688688000000",
"number": "1790213957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 N MOUNTAIN VIEW DR",
"city": "BOISE",
"state": "ID",
"postal_code": "837046244",
"telephone_number": "512-809-8541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 W AMERICANA TER STE 210B",
"city": "BOISE",
"state": "ID",
"postal_code": "837062521",
"telephone_number": "512-809-8541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "DEBORAH",
"middle_name": "ANN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-31",
"last_updated": "2023-07-07",
"certification_date": "2023-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW-36104",
"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 Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.