Individual provider Active NPI

Tessa Nicole Murdock-Bell, LCSW

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1992343396
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-39170 Issued in ID
Practice address
459 W Main St
Boise, ID 83702-7244
Phone
(208) 906-3816
Fax
(208) 315-6171
NPI assigned
Dec 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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-39170 ID Primary

Addresses

Primary practice location

459 W Main St
Boise, ID 83702-7244

Mailing address

459 W Main St
Boise, ID 83702-7244
Phone (208) 906-3816

Other names 1

  • Tessa Nicole Murdock Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address contact@tessamurdockbell.com
Direct Messaging Address tessa.murdock-bell@saintalphonsus.org

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-39170IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tessamurdockbell@tdh.allscriptsdirect.net

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": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1992343396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 W MAIN ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027244",
            "telephone_number": "208-906-3816",
            "fax_number": "208-315-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 W MAIN ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027244",
            "telephone_number": "208-906-3816",
            "fax_number": "208-315-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURDOCK-BELL",
        "first_name": "TESSA",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-39170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@tessamurdockbell.com",
            "affiliation": "N",
            "address_1": "1116 S Vista Ave # 289",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837052429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tessa.murdock-bell@saintalphonsus.org",
            "affiliation": "N",
            "address_1": "6533 W Emerald St",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837048737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TESSA",
            "last_name": "MURDOCK",
            "middle_name": "NICOLE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 25, 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.

Verify at the official NPI Registry.