Active NPI
Victoria Maria Kent, MSW
- Social Worker
- Boise, ID
National Provider Identifier
1962096925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW40325
- Practice address
- 6550 W Emerald St Ste 112
Boise, ID 83704-8780 - Phone
- (208) 342-6300
- NPI assigned
- Feb 21, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW40325 | ID | Primary |
Addresses
Primary practice location
6550 W Emerald St Ste 112
Boise, ID 83704-8780
Mailing address
6550 W Emerald St Ste 112
Boise, ID 83704-8780
Phone (208) 342-6300
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 |
|---|---|---|---|
| LMSW40325 | ID | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monarch Behavioral Health, LLC | Social Worker | Past | Accepting new patients |
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": "1613865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613865600000",
"number": "1962096925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6550 W EMERALD ST STE 112",
"city": "BOISE",
"state": "ID",
"postal_code": "837048780",
"telephone_number": "208-342-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6550 W EMERALD ST STE 112",
"city": "BOISE",
"state": "ID",
"postal_code": "837048780",
"telephone_number": "208-342-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENT",
"first_name": "VICTORIA",
"middle_name": "MARIA",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-21",
"last_updated": "2021-02-21",
"certification_date": "2021-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LMSW40325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.