Individual provider Active NPI

Emily Jo Maupin, LMSW

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1861067860
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44305 Issued in ID
Practice address
10448 W Garverdale CT
Boise, ID 83704-5409
Phone
(208) 286-1529
Fax
(208) 445-2285
NPI assigned
May 21, 2021
Last updated
May 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44305 ID Primary

Addresses

Primary practice location

10448 W Garverdale CT
Boise, ID 83704-5409

Mailing address

355 Briar LN S
Tenino, WA 98589
Phone (208) 590-3891

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231221003470 ID Practitioner - Clinical Social Worker 0648620211 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44305IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Noble Intent LLC Clinical CurrentSince Dec 6, 2023 Accepting new patients
Noble Intent CurrentSince Mar 11, 2025 Accepting new patients

Locations

3501 W Elder St
Ste 300
Boise, ID 83705
Phone (208) 286-1529

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1861067860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 BRIAR LN S",
            "city": "TENINO",
            "state": "WA",
            "postal_code": "98589",
            "telephone_number": "208-590-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10448 W GARVERDALE CT",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045409",
            "telephone_number": "208-286-1529",
            "fax_number": "208-445-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUPIN",
        "first_name": "EMILY",
        "middle_name": "JO",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "44305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.