Individual provider Active NPI

Maria A Babushkina, MSW

  • Clinical Social Worker
  • Caldwell, ID
National Provider Identifier
1902443054
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-45340 Issued in ID
Practice address
923 Grant St
Caldwell, ID 83605-4137
Phone
(208) 585-3375
Fax
(208) 585-6152
NPI assigned
Dec 9, 2019
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-45340 ID Primary

Addresses

Primary practice location

923 Grant St
Caldwell, ID 83605-4137

Mailing address

923 Grant St
Caldwell, ID 83605-4137
Phone (208) 585-3375

Other practice location 1

3288 E Pine Ave
Meridian, ID 83642-5922
Phone (208) 888-8887

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241022003459 ID Practitioner - Clinical Social Worker 7618409186 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mana Resources LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

923 Grant St
Caldwell, ID 83605
Phone (208) 454-9000

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.

NPI Registry JSON

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1902443054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 GRANT ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054137",
            "telephone_number": "208-585-3375",
            "fax_number": "208-585-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 GRANT ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054137",
            "telephone_number": "208-585-3375",
            "fax_number": "208-585-6152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3288 E Pine Ave",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836425922",
            "country_code": "US",
            "telephone_number": "208-888-8887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BABUSHKINA",
        "first_name": "MARIA",
        "middle_name": "A",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2025-06-12",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-45340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

Verify at the official NPI Registry.