Active NPI
Rebecca Waggaman, LCSW
- Clinical Social Worker
- Meridian, ID
National Provider Identifier
1821140898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW1169
- Practice address
- 3071 E Franklin Rd
Suite 201
Meridian, ID 83642-2376 - Phone
- (208) 807-2877
- Fax
- (208) 807-2888
- NPI assigned
- Jan 18, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW1169 | ID | Primary |
Addresses
Primary practice location
3071 E Franklin Rd
Suite 201
Meridian, ID 83642-2376
Mailing address
PO Box 1603
Meridian, ID 83680-1603
Phone (208) 807-2877
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010135718 | Other | ID | REGENCE BLUE SHIELD |
| L1831 | Other | ID | BLUE CROSS OF ID |
Other names 1
- Becky Waggaman
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 |
|---|---|---|---|
| LCSW1169 | ID | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Limitless Life Counseling, LLC | Clinical | Past | Accepting new patients |
| Counseling Associates PLLC | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Eagle, ID
- NPI 1144362021
-
- Clinical Social Worker
- Meridian, ID
- NPI 1801271564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766448000000",
"number": "1821140898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1603",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836801603",
"telephone_number": "208-807-2877",
"fax_number": "208-807-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3071 E FRANKLIN RD",
"address_2": "SUITE 201",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836422376",
"telephone_number": "208-807-2877",
"fax_number": "208-807-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGGAMAN",
"first_name": "REBECCA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2025-12-23",
"certification_date": "2025-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW1169",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "000010135718",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF ID",
"identifier": "L1831",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BECKY",
"last_name": "WAGGAMAN",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.