J Reed Stoddard, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-945 Issued in ID

Practice address

200 SHC
Rexburg, ID 83460-2020

Phone

(208) 496-1100

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811064801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 S MILLHOLLOW RD",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402221",
            "telephone_number": "208-496-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SHC",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834602020",
            "telephone_number": "208-496-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STODDARD",
        "first_name": "J",
        "middle_name": "REED",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Stevenson, RN
• Karen Jannette Stewart, MOTR/L
• Courtney I Stimpson, LCSW
• Emily L Stirling, PHARMD
• Stoddard & Bingham Medical of Rexburg PLLC
• Jaquel Stokes, LPC
• Sydney Stratton Jones
• Dirk E. Strobel, D.D.S. P.C.
• Heber Meng Strobel, DDS
• Marci Stucki, LMSW

• Clinical Social Worker in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.