Individual provider Active NPI

Janet Tooley, LCSW

  • Clinical Social Worker
  • Caldwell, ID
National Provider Identifier
1962767558
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-34099 Issued in ID
Practice address
2609 S 10TH Ave Ste 102
Caldwell, ID 83605-6885
Phone
(208) 454-2766
NPI assigned
Jul 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 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 LCSW-34099 ID Primary

Addresses

Primary practice location

2609 S 10TH Ave Ste 102
Caldwell, ID 83605-6885

Mailing address

2922 Cleveland Blvd
Suite 500
Caldwell, ID 83605-4436
Phone (208) 453-1449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160205000929 ID Practitioner - Clinical Social Worker 8527362961 Reassigns benefits to 1 organization
I20160718002209 OR Practitioner - Clinical Social Worker 8527362961 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-34099IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeways, Inc CurrentSince Jan 4, 2016 Accepting new patients
Lifeways, Inc CurrentSince Jun 10, 2016 Accepting new patients
Lifeways, Inc CurrentSince Jan 4, 2016 Accepting new patients
Insight Counseling & Therapy Clinical Past Accepting new patients

Locations

2609 S 10th Ave
Ste 102
Caldwell, ID 83605
Phone (208) 291-1020

702 Sunset Dr
Ontario, OR 97914
Phone (541) 823-9041

Organizations & group practices 4

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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1962767558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2922 CLEVELAND BLVD",
            "address_2": "SUITE 500",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054436",
            "telephone_number": "208-453-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 S 10TH AVE STE 102",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836056885",
            "telephone_number": "208-454-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOLEY",
        "first_name": "JANET",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-34099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

Verify at the official NPI Registry.