Jessica Rose Crocker-Oswald, LCSW
Individual provider Active NPI Clinical Social Worker · Boise, ID
NPI 1962019513 · NPPES record last updated Jul 8, 2024
Key facts
- NPI
- 1962019513
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44069 (ID)
- Practice address
- 3350 W Americana Ter Ste 100-B
Boise, ID 83706-2521 - Phone
- (208) 392-0006
- NPI assigned
- Sep 28, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40036 | ID | MD | Social Worker |
| 44069 | ID | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Star Counseling, LLC | Clinical | Current |
Accepting new patients |
| Care Counseling Clinic, LLC | Clinical | Past |
Accepting new patients |
Locations
1005 E Park Blvd
Boise, ID 83712
Phone (208) 515-7588
3350 W Americana Ter
Ste 100B
Boise, ID 83706
Phone (208) 392-0006
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 40036 | ID | |
| Clinical Social Worker | 1041C0700X | 44069 | ID | Yes |
Addresses
Primary practice location
3350 W Americana Ter Ste 100-B
Boise, ID 83706-2521
Mailing address
4438 N Supai Ave
Meridian, ID 83646-3671
Phone (208) 392-0006
Other providers in Boise, ID
- Rolf O Crichton
- Carey Dawn Crill
- Kristin Cripps
- Matthew R Crispo
- John D Crites
- Erica Crockett
- Jayme Crockett
- Madeline Crockett
- Roberta Crockett
- Gina M Crockford
All providers in Boise, ID · Clinical Social Worker in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.