Active NPI
Holly N. Hudson-Nogle, MSW
- Social Worker
- Boise, ID
National Provider Identifier
1881967545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW-31462
- Practice address
- 2612 Hayden Way
Boise, ID 83704 - Phone
- (208) 919-4517
- Fax
- (208) 246-6624
- NPI assigned
- Feb 10, 2012
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW-31462 | ID | Primary |
Addresses
Primary practice location
2612 Hayden Way
Boise, ID 83704
Mailing address
410 S Orchard St Ste 124
Boise, ID 83705-1210
Phone (208) 919-4517
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250703001865 | ID | Practitioner - Clinical Social Worker | 0042723835 | Practice locations: Boise, ID |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-31462 | ID | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1881967545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 S ORCHARD ST STE 124",
"city": "BOISE",
"state": "ID",
"postal_code": "837051210",
"telephone_number": "208-919-4517",
"fax_number": "208-246-6624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2612 HAYDEN WAY",
"city": "BOISE",
"state": "ID",
"postal_code": "83704",
"telephone_number": "208-919-4517",
"fax_number": "208-246-6624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON-NOGLE",
"first_name": "HOLLY",
"middle_name": "N.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-10",
"last_updated": "2026-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LMSW-31462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.