Active NPI
Angela Dawn Bartlow, LCSW
- Clinical Social Worker
- Nampa, ID
National Provider Identifier
1831686211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW42435
- Practice address
- 1015 Caldwell Blvd
Nampa, ID 83651-1717 - Phone
- (208) 994-3811
- NPI assigned
- Apr 20, 2018
- Last updated
- Jun 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 33020 | ID | |
| Clinical Social Worker | 1041C0700X | LCSW42435 | ID | Primary |
Addresses
Primary practice location
1015 Caldwell Blvd
Nampa, ID 83651-1717
Mailing address
1015 Caldwell Blvd
Nampa, ID 83651-1717
Phone (208) 994-3811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 15, 2025 through Sep 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33020 | ID | MD | Social Worker |
| LCSW42435 | ID | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748908800000",
"number": "1831686211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 CALDWELL BLVD",
"city": "NAMPA",
"state": "ID",
"postal_code": "836511717",
"telephone_number": "208-994-3811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 CALDWELL BLVD",
"city": "NAMPA",
"state": "ID",
"postal_code": "836511717",
"telephone_number": "208-994-3811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTLOW",
"first_name": "ANGELA",
"middle_name": "DAWN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-20",
"last_updated": "2025-06-03",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "33020",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW42435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.