Sadie J Nebeker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-42939 Issued in ID

Practice address

28371 El Paso Rd
Caldwell, ID 83607-7521

Phone

(208) 454-8847

Fax

(208) 454-9014

NPI assigned

Aug 14, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Sadie J Wilson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 8, 2026 through Jan 8, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sadie Nebeker, LCSW, PLLC

  • Clinical Social Worker
  • Caldwell, ID
  • NPI 1831073154
  NPD Authorized official
• CPF Idaho Behavioral Health, LLC

  • Family Medicine Physician
  • Boise, ID
  • NPI 1871259770
  NPD (past)
• Doctor'S Hospice of Idaho LLC

  • Community Based Hospice Care Agency
  • Meridian, ID
  • NPI 1871946483
  NPD (past)

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688860800000",
    "number": "1811543994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 FERN ST.",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "83686",
            "telephone_number": "435-760-3819",
            "fax_number": "208-906-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28371 EL PASO RD",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836077521",
            "telephone_number": "208-454-8847",
            "fax_number": "208-454-9014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13888 Galloway Rd",
            "address_purpose": "LOCATION",
            "city": "Caldwell",
            "state": "ID",
            "postal_code": "836077662",
            "country_code": "US",
            "telephone_number": "208-328-5446",
            "fax_number": "208-906-0998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEBEKER",
        "first_name": "SADIE",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2023-07-09",
        "certification_date": "2023-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9334417-3502",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LMSW-38949",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-42939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SADIE",
            "last_name": "WILSON",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gabrielle Nicole Nash
• Nationwide Neuro Health
• Shantell Amanda Navarro, LPC
• Paloma Neal
• Cordell Denton Nebeker, D.D.S., M.S.
• Diana Sullivan Neff, PMHNP
• Amy Marie Neideffer
• Jeannie Nejely
• James D Nelson, RPH
• James Nettleton, RN

• Clinical Social Worker in Caldwell, ID
• Providers in Caldwell, 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 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.