Active NPI
Janet Tooley, LCSW
- Clinical Social Worker
- Caldwell, ID
National Provider Identifier
1962767558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-34099
- 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
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-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, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-34099 | ID | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeways, Inc | Current | Accepting new patients | |
| Lifeways, Inc | Current | Accepting new patients | |
| Lifeways, Inc | Current | 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.
-
- Psychiatric Residential Treatment Facility
- Hermiston, OR
- NPI 1144761784
-
- Community/Behavioral Health Agency
- Pendleton, OR
- NPI 1932295326
-
- Clinical Social Worker
- Payette, ID
- NPI 1104350511
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.