Active NPI
Mark Lamprich, LCSW
- Clinical Social Worker
- Twin Falls, ID
National Provider Identifier
1952791360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW 34380
- Practice address
- 650 Addison Ave W
Suite 400
Twin Falls, ID 83301-5851 - Phone
- (208) 733-1624
- Fax
- (208) 441-8637
- NPI assigned
- Jan 23, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW 34380 | ID | Primary |
Addresses
Primary practice location
650 Addison Ave W
Suite 400
Twin Falls, ID 83301-5851
Mailing address
650 Addison Ave W
Suite 400
Twin Falls, ID 83301-5851
Phone (208) 733-1624
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 |
|---|---|---|---|
| LCSW 34380 | ID | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421971200000",
"number": "1952791360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 ADDISON AVE W",
"address_2": "SUITE 400",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833015851",
"telephone_number": "208-733-1624",
"fax_number": "208-441-8637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 ADDISON AVE W",
"address_2": "SUITE 400",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833015851",
"telephone_number": "208-733-1624",
"fax_number": "208-441-8637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMPRICH",
"first_name": "MARK",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-23",
"last_updated": "2015-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW 34380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.