Individual provider Active NPI

Amber Lynn Hoid, LCSW

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1922621747
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW42489 Issued in ID
Practice address
4090 W State St Ste 109
Boise, ID 83703-4450
Phone
(208) 867-3288
NPI assigned
May 27, 2020
Last updated
Nov 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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 LCSW42489 ID Primary

Addresses

Primary practice location

4090 W State St Ste 109
Boise, ID 83703-4450

Mailing address

10177 W Canterbury Dr
Boise, ID 83704-5319
Phone (208) 867-3288

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
I20220816001373 ID Practitioner - Clinical Social Worker 2466835921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4090 W State St
Suite 109
Boise, ID 83703-4450
Phone (208) 867-3288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW42489IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ambers House of Integrative Therapy for All Ages Clinical CurrentSince Jul 22, 2022 Accepting new patients

Locations

4090 W State St
Ste 103
Boise, ID 83703
Phone (208) 867-3288

4090 W State St
Ste 109
Boise, ID 83703
Phone (208) 867-3288

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": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1922621747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10177 W CANTERBURY DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045319",
            "telephone_number": "208-867-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4090 W STATE ST STE 109",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837034450",
            "telephone_number": "208-867-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOID",
        "first_name": "AMBER",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2022-11-10",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW42489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.