Active NPI
Rebecca Davis, LMSW
- Social Worker
- Boise, ID
National Provider Identifier
1891144507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 35752
- Practice address
- 7711 W Riverside Dr
Boise, ID 83714-6182 - Phone
- (208) 853-8536
- NPI assigned
- Jun 3, 2016
- Last updated
- Jun 3, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 35752 | ID | Primary |
Addresses
Primary practice location
7711 W Riverside Dr
Boise, ID 83714-6182
Mailing address
1200 N Wilson St
Boise, ID 83706-2368
Phone (208) 629-9713
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 |
|---|---|---|---|
| 35752 | ID | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464912000000",
"number": "1891144507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N WILSON ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837062368",
"telephone_number": "208-629-9713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7711 W RIVERSIDE DR",
"city": "BOISE",
"state": "ID",
"postal_code": "837146182",
"telephone_number": "208-853-8536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "REBECCA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-03",
"last_updated": "2016-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "35752",
"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 Jun 3, 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.