MRS. KATRIN POTTICARY (NPI# 1083978845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083978845 |
| Entity Type | Individual |
| Full Name | MRS. KATRIN POTTICARY |
| Credential | LMSW |
| Practice Address |
1910 University Dr Boise ID 83725-1351 |
| Mailing Address |
1910 University Dr Boise ID 83725-0001 |
| Practice Telephone | 2084261459 |
| Mailing Telephone | 2084261459 |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2012-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | LMSW-31566 | ID | Behavioral Health & Social Service Providers |
| Street Address |
1910 UNIVERSITY DR |
| City | BOISE |
| State | ID |
| Zip Code | 83725-1351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285607598 | Dave Lynn Hammons I | Specialist | 1910 University Dr, Boise, ID 83725-1710 | 2006-02-08 |
| 1548876469 | Rylie Michelle Miller | Specialist/Technologist | 1910 University Dr, Boise, ID 83725-0002 | 2020-09-16 |
| 1700359916 | Taylor Lannea Aylsworth-hayfield | Specialist/Technologist | 1910 University Dr, Boise, ID 83725-0001 | 2019-01-10 |
| 1275071110 | Savannah Knighton | Specialist/Technologist | 1910 University Dr, Boise, ID 83725-0001 | 2017-02-10 |
| 1114462405 | Tyler K Murray | Specialist/Technologist | 1910 University Dr, Boise, ID 83725-0001 | 2016-12-22 |
| 1710352430 | Andrew Wingfield | Counselor | 1910 University Dr, Boise, ID 83725-1351 | 2015-12-07 |
| 1083006274 | Sarah O'brien | Social Worker | 1910 University Dr, Boise, ID 83725-1351 | 2015-02-24 |
| 1790183978 | Brandon Voigt | Specialist/Technologist | 1910 University Dr, Boise, ID 83725-1020 | 2014-12-19 |
| 1962800425 | Syringa Stark | Specialist/Technologist | 1910 University Dr, Boise, ID 83725-1020 | 2014-12-16 |
| 1063812717 | Seth Rede | Specialist/Technologist | 1910 University Dr, Boise, ID 83725-1021 | 2014-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194276550 | Dylan E Schmick | Specialist/Technologist | 1910 University Drive, Boise, ID 83725 | 2016-10-20 |
| 1770183089 | Boise State University | Clinical Medical Laboratory | Bsu Science Bld Room 239 2133 W Cesar Chavez Ln, Boise, ID 83725-0001 | 2020-10-27 |
| 1386053213 | Keita Shimada | Specialist | 1910 University Dr # Ms 1020, Boise, ID 83725-0001 | 2014-08-05 |
| 1275815904 | Christian Gelok | Nurse Practitioner | 1910 University Dr # Ms 1351, Boise, ID 83725-0001 | 2011-09-20 |
| 1750680849 | Alison Radcliffe | Psychologist | 1529 S Belmont St, Boise, ID 83725-0001 | 2011-03-15 |
| 1336477207 | Rd Boardman | Psychologist | Health Services 1529 Belmont St, Boise, ID 83725-0001 | 2009-12-03 |
| 1194865444 | Boise State Health Center | Clinic/Center | 2103 University Dr, Boise, ID 83725-0001 | 2007-02-07 |
| 1033154802 | James Floyd Spooner | Specialist/Technologist | Boise State University, 1910 University Dr, Boise, ID 83725-0001 | 2006-06-17 |
| 1750947701 | Monique Victoria Barber | Counselor | 1529 Belmont St, Boise, ID 83725-0001 | 2019-05-15 |
| 1033551015 | Tanna Susan Willis | Massage Therapist | 1529 Belmont St, Boise, ID 83725-0001 | 2013-07-19 |
| Find all providers in zip 83725 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691249 | Uzima Health Services LLC | Social Worker | 1111 S Orchard St Ste 245, Boise, ID 83705-1964 | 2020-08-25 |
| 1639789720 | Kylie Langer | Social Worker | 161 E Mallard Dr Ste 100, Boise, ID 83706-5015 | 2020-08-04 |
| 1184242299 | Andrea Gilman | Social Worker | 1985 N Maple Grove Rd, Boise, ID 83704-6931 | 2020-07-06 |
| 1134741820 | Cristina Maria Vieira | Social Worker | 148 S Cole Rd, Boise, ID 83709-0932 | 2020-05-15 |
| 1558994558 | Tasha Irene Lundquist | Social Worker | 1475 S Latah St, Boise, ID 83705-2920 | 2020-02-18 |
| 1528690179 | Jeremiah Osborn | Social Worker | 921 S Orchard St Ste 101, Boise, ID 83705-1916 | 2020-02-11 |
| 1285273516 | Kristina Souto-maior | Social Worker | 2995 N Cole Rd Ste 270&260, Boise, ID 83704-5964 | 2020-01-03 |
| 1588212021 | Kirsten Giles | Social Worker | 1513 N 22nd St, Boise, ID 83702-0403 | 2019-08-28 |
| 1003468521 | Daniel James Griffin | Social Worker | 10787 W Ustick Rd, Boise, ID 83713-5104 | 2019-07-15 |
| 1295397495 | Kevin James Smith | Social Worker | 1076 E Rubicon Dr, Boise, ID 83716-5279 | 2019-07-08 |
| Find all providers in BOISE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.