Kelsey Kae Furniss, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

35823 Issued in ID

Practice address

1805 S Columbus St
Boise, ID 83705-3508

Phone

(208) 869-0743

NPI assigned

Jun 1, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelsey Kae Hammon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1861840639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 S COLUMBUS ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837053508",
            "telephone_number": "208-869-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 S COLUMBUS ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837053508",
            "telephone_number": "208-869-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURNISS",
        "first_name": "KELSEY",
        "middle_name": "KAE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "35823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "HAMMON",
            "middle_name": "KAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Marie Funk, PA-C
• Timothy Franklin Funk, FNP-C
• Aleesia Funke, LMSW
• Cathryn Mae Furlong, LMSW
• Timothy J. Furness, M.ED.
• Lindsay M Fustos, LMSW
• Future Public School, Inc.
• Vedaliah Fye
• Courtney Gabbert
• A Teresa Gabiola Shelton, PA

• Social Worker in Boise, ID
• Providers in Boise, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.