Active NPI
Steven Sample, LMSW
- Social Worker
- Coeur D Alene, ID
National Provider Identifier
1821362963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW-30059
- Practice address
- 109 E Harrison Ave
Coeur D Alene, ID 83814-3238 - Phone
- (208) 664-8347
- Fax
- (208) 664-9217
- NPI assigned
- Mar 7, 2012
- Sex
- Male
- 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-30059 | ID | Primary |
Addresses
Primary practice location
109 E Harrison Ave
Coeur D Alene, ID 83814-3238
Mailing address
2900 N Government Way # 136
Coeur D Alene, ID 83815-3751
Phone (208) 664-8348
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 |
|---|---|---|---|
| LMSW-30059 | ID | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Romero LCSW, Cadc, LLC | Past | Accepting new patients | |
| Restored Paths | 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.
-
- Community/Behavioral Health Agency
- Coeur D Alene, ID
- NPI 1760734230
-
- Community/Behavioral Health Agency
- Coeur D Alene, ID
- NPI 1003180118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331078400000",
"number": "1821362963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 N GOVERNMENT WAY # 136",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838153751",
"telephone_number": "208-664-8348",
"fax_number": "208-664-9217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 E HARRISON AVE",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838143238",
"telephone_number": "208-664-8347",
"fax_number": "208-664-9217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPLE",
"first_name": "STEVEN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-07",
"last_updated": "2012-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LMSW-30059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.