Active NPI
Michelle Borgquist, LMSW
- Social Worker
- Boise, ID
National Provider Identifier
1801366117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW-24335
- Practice address
- 417 S 6TH St
Boise, ID 83702-7632 - Phone
- (208) 577-4470
- NPI assigned
- Nov 29, 2018
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW-24335 | ID | Primary |
Addresses
Primary practice location
417 S 6TH St
Boise, ID 83702-7632
Mailing address
417 S 6TH St
Boise, ID 83702-7632
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LMSW-25335 | Other | ID | STATE LICENSE |
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 |
|---|---|---|---|
| LMSW-24335 | ID | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543449600000",
"number": "1801366117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 S 6TH ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837027632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 S 6TH ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837027632",
"telephone_number": "208-577-4470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORGQUIST",
"first_name": "MICHELLE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-29",
"last_updated": "2018-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LMSW-24335",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "LMSW-25335",
"state": "ID"
}
],
"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 Nov 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.