Blair K Garner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-582 Issued in ID

Practice address

2235 E 25TH St Ste 185
Idaho Falls, ID 83404-7539

Phone

(208) 522-1904

Fax

(208) 522-8847

NPI assigned

Jan 12, 2007

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

Other identifiers 2

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

Specialty

Clinical Social Worker

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Blair K. Garner, PA

  • Community/Behavioral Health Agency
  • Idaho Falls, ID
  • NPI 1851662852
  Medicare reassignment NPD Authorized official
• New Beginnings, Inc.

  • Mental Health Counselor
  • Idaho Falls, ID
  • NPI 1528118254

  Clinical

  NPD (past) Authorized official

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1821148537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 E 25TH ST STE 185",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047539",
            "telephone_number": "208-522-1904",
            "fax_number": "208-522-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 E 25TH ST STE 185",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047539",
            "telephone_number": "208-522-1904",
            "fax_number": "208-522-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "BLAIR",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "000010015892",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "L5824",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lee S Gardner, P.A.-C
• Philip Edward Gardner, BS
• Erich W Garland, MD PA
• Janet Susan Garland, MSN, FNP, CANP
• Benjamin B Garner, DO
• Carol Garner, LPC
• Jerry K Garner, L.AC.
• Melissa Helene Garner, M.S. CF-SLP
• Morgan Tius Garriott, MSN, APRN, CNP, FNP
• David Andrew Garrity, MD

• Clinical Social Worker in Idaho Falls, ID
• Providers in Idaho Falls, 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 Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.