Individual provider Active NPI

Brigette D Pender, LCSW

  • Clinical Social Worker
  • Hayden, ID
National Provider Identifier
1891950754
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60490721 Issued in WA
Practice address
13403 N Government Way Ste 102
Hayden, ID 83835-8906
Phone
(208) 719-1030
NPI assigned
Jul 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW21841 AZ
Clinical Social Worker 1041C0700X LICSW1141914 MA
Clinical Social Worker 1041C0700X LW60490721 WA Primary
Clinical Social Worker 1041C0700X 2025030406 MO

Addresses

Primary practice location

13403 N Government Way Ste 102
Hayden, ID 83835-8906

Mailing address

13403 N Government Way Ste 102
Hayden, ID 83835-8906
Phone (208) 719-1030

Other names 1

  • Brigette D Hager Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW21841AZMDClinical Social Worker
LICSW1141914MAMDClinical Social Worker
2025030406MOMDClinical Social Worker
LW60490721WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Health PLLC CurrentSince Apr 9, 2023 Accepting new patients

Locations

8382 N Wayne Dr
Ste 103B
Hayden, ID 83835
Phone (208) 635-5658

13403 N Government Way
Ste 102
Hayden, ID 83835
Phone (208) 719-1030

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1891950754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13403 N GOVERNMENT WAY STE 102",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358906",
            "telephone_number": "208-719-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13403 N GOVERNMENT WAY STE 102",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358906",
            "telephone_number": "208-719-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDER",
        "first_name": "BRIGETTE",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW21841",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW1141914",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60490721",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2025030406",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIGETTE",
            "last_name": "HAGER",
            "middle_name": "D",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hayden, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.