Individual provider Active NPI

Diane Hakes, LCSW

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1962821249
Registry record updated Aug 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-24943 Issued in ID
Practice address
315 N Allumbaugh St
Boise, ID 83704-9208
Phone
(208) 376-3546
Fax
(208) 376-9792
NPI assigned
Apr 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2015

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-24943 ID Primary

Addresses

Primary practice location

315 N Allumbaugh St
Boise, ID 83704-9208

Mailing address

4877 Lakes Edge PL
Boise, ID 83714-1951
Phone (208) 954-2871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150410000037 ID Practitioner - Clinical Social Worker 7012235674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daring in Idaho LLCGroup PAC ID 6709210008, 2 clinicians

Practice addresses (Care Compare)

1005 E Park Blvd
Boise, ID 83712-7722
Phone (208) 954-2871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Daring in Idaho, LLC Clinical CurrentSince Sep 24, 2019 Accepting new patients
Heart and Mind Counseling PLLC Clinical CurrentSince Jul 1, 2021 Accepting new patients

Locations

315 N Allumbaugh St
Boise, ID 83704
Phone (208) 323-2847

1005 E Park Blvd
Boise, ID 83712
Phone (208) 515-7588

413 N Allumbaugh St
Ste 102
Boise, ID 83704
Phone (208) 287-0993

Organizations & group practices 2

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1962821249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4877 LAKES EDGE PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837141951",
            "telephone_number": "208-954-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N ALLUMBAUGH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049208",
            "telephone_number": "208-376-3546",
            "fax_number": "208-376-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKES",
        "first_name": "DIANE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-24943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.