Individual provider Active NPI

Shawn Joyce Briley, LCSW

  • Clinical Social Worker
  • McCall, ID
National Provider Identifier
1801068127
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-28826 Issued in ID
Practice address
321 N 3Rd St
Suite 11
McCall, ID 83638-4439
Phone
(208) 634-2979
NPI assigned
Mar 26, 2008
Last updated
Mar 26, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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-28826 ID Primary

Addresses

Primary practice location

321 N 3Rd St
Suite 11
McCall, ID 83638-4439

Mailing address

PO Box 455
Council, ID 83612-0455
Phone (208) 634-2979

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
I20090609000314 ID Practitioner - Clinical Social Worker 7618027863 Practice locations: McCall, ID

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

321 N 3Rd St
Suite 11
McCall, ID 83638-4439
Phone (208) 469-9830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Senior Counseling LLC Clinical CurrentSince Mar 28, 2021 Accepting new patients
Idacare Clinical CurrentSince Dec 22, 2016 Accepting new patients
Idacare Foundation Clinical CurrentSince Aug 10, 2019 Accepting new patients
Shawn Briley Counseling LLC Clinical Past Accepting new patients

Locations

2206 N Cole Rd
Boise, ID 83704
Phone (208) 451-0101

Organizations & group practices 4

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": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1801068127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 455",
            "city": "COUNCIL",
            "state": "ID",
            "postal_code": "836120455",
            "telephone_number": "208-634-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N 3RD ST",
            "address_2": "SUITE 11",
            "city": "MCCALL",
            "state": "ID",
            "postal_code": "836384439",
            "telephone_number": "208-634-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRILEY",
        "first_name": "SHAWN",
        "middle_name": "JOYCE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-28826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McCall, ID

Sources for this page

Verify at the official NPI Registry.