Active NPI
Clara Earl, LCSW
- Clinical Social Worker
- Nampa, ID
National Provider Identifier
1861985970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-41634
- Practice address
- 112 9TH Ave S # B9
Nampa, ID 83651-3825 - Phone
- (208) 825-2100
- NPI assigned
- Jun 13, 2018
- Last updated
- Jul 5, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-41634 | ID | Primary |
Addresses
Primary practice location
112 9TH Ave S # B9
Nampa, ID 83651-3825
Mailing address
815 8TH St S
Nampa, ID 83651-4521
Phone (208) 629-6446
Other practice location 1
2950 E Magic View Dr
Meridian, ID 83642-3154
Phone (208) 600-2184
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-41634 | ID | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diamond Rose Counseling and Wellness, PLLC | Current | Accepting new patients |
Locations
112 9th Ave S
#B9
Nampa, ID 83651
Phone (208) 450-3230
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Nampa, ID
- NPI 1619828621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1861985970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 8TH ST S",
"city": "NAMPA",
"state": "ID",
"postal_code": "836514521",
"telephone_number": "208-629-6446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 9TH AVE S # B9",
"city": "NAMPA",
"state": "ID",
"postal_code": "836513825",
"telephone_number": "208-825-2100"
}
],
"practiceLocations": [
{
"address_1": "2950 E Magic View Dr",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "ID",
"postal_code": "836423154",
"country_code": "US",
"telephone_number": "208-600-2184",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EARL",
"first_name": "CLARA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-13",
"last_updated": "2023-07-05",
"certification_date": "2022-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW-41634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Chad Dwyer, PHARMD
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- James R Dzur, MD
- Eagle Creek Ranch Recovery, LLC
- Carolyn Eardley, LMSW
- Elizabeth Ann Earnest, DC
- East Meets West Medical Clinic
- Easterseals-Goodwill Northern Rocky Mountain, Inc.
- Easterseals-Goodwill Northern Rocky Mountain, Inc.
- Easterseals-Goodwill Northern Rocky Mountain, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.