MR. ALEXANDER JAMIE BLACK (NPI# 1326342155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326342155 |
| Entity Type | Individual |
| Full Name | MR. ALEXANDER JAMIE BLACK |
| Credential | LCSW |
| Practice Address |
10740 W Fairview Ave Ste 100 Boise ID 83713-8050 |
| Practice Telephone | 2083760191 |
| Practice Fax Number | 2086586299 |
| Mailing Telephone | 2083760191 |
| Mailing Fax Number | 2086586299 |
| Enumeration Date | 2011-01-09 |
| Last Update Date | 2011-01-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-30991 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576044 | Alexander Christian Black | Student in an Organized Health Care Education/Training Program | 2124 Lone Oak Rd, Paris, TN 38242-5218 | 2020-04-04 |
| 1104851500 | Alexander C Black | Internal Medicine | 27235 Tourney Rd Ste 2400, Santa Clarita, CA 91355-5905 | 2006-07-12 |
| 1225666738 | Alexander Irving Black | Student in an Organized Health Care Education/Training Program | 514 49th St, Brooklyn, NY 11220-2010 | 2020-03-30 |
| 1437679172 | Alexander Black | Counselor | 612 E Arkansas St, Star City, AR 71667-4842 | 2017-06-23 |
| 1437685849 | Alexander Leslie Black Jr. | Contractor | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2017-05-04 |
| 1851387252 | Alexander Brooks Black | Pediatrics | Unit 5210 Box 230, Apo, AE 09461 | 2005-09-22 |
| Street Address |
10740 W FAIRVIEW AVE STE 100 |
| City | BOISE |
| State | ID |
| Zip Code | 83713-8050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255494555 | Cary Shelton | Social Worker | 10740 W Fairview Ave Ste 100, Boise, ID 83713-8050 | 2006-12-18 |
| 1396343331 | Dixie Hamp Seegmiller | Counselor | 10740 W Fairview Ave Ste 100, Boise, ID 83713-8050 | 2020-10-12 |
| 1710517768 | Tracy Bjork | Social Worker | 10740 W Fairview Ave Ste 100, Boise, ID 83713-8050 | 2020-01-17 |
| 1417405036 | Melanie Smith | Counselor | 10740 W Fairview Ave Ste 100, Boise, ID 83713-8050 | 2016-09-12 |
| 1427283852 | Michelle Armstrong | Counselor | 10740 W Fairview Ave Ste 100, Boise, ID 83713-8050 | 2009-05-29 |
| 1902031727 | Lds Family Services Idaho Boise Agency | Case Management | 10740 W Fairview Ave Ste 100, Boise, ID 83713-8050 | 2009-05-22 |
| 1528285376 | Grant Richard Kane | Counselor | 10740 W Fairview Ave Ste 100, Boise, ID 83713-8050 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902332 | Kidscare Home Health of Idaho, LLC | Home Health | 1835 Wildwood Street, Boise, ID 83713 | 2018-11-30 |
| 1417463928 | Kimberly Ann Bohrer | Behavioral Analyst | 12053 W Hickory Dr, Boise, ID 83713 | 2017-12-19 |
| 1407371891 | Emir Hadzic | Optometrist | 13239 W. Fernleaf St., Boise, ID 83713 | 2017-08-07 |
| 1518336650 | Alliance Physical Medicine | Nurse Practitioner | 13909 W Wainwright Drive, Boise, ID 83713 | 2015-09-18 |
| 1083038335 | Jan L Rehder | Nurse Practitioner | 13150 W Persimmon Lane, Boise, ID 83713 | 2014-02-06 |
| 1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
| 1659667459 | Jayson Clark | Dentist | 4274 N Eagle Road, Boise, ID 83713 | 2011-06-21 |
| 1043503659 | Steven Anthony Eckhoff | Physician Assistant | 11662 W Arlen St, Boise, ID 83713 | 2011-05-16 |
| 1790923621 | Christie Dudash Flynn | Physician Assistant | 12273 W Mcmillian Road, Boise, ID 83713 | 2009-01-30 |
| 1699930404 | Dennis J. Garpetti, Dds, P.C. | Dentist | 13108 West Persimmon Lane, Boise, ID 83713 | 2008-07-21 |
| Find all providers in zip 83713 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171961 | Jill Michelle Chonody | Social Worker | 3134 S Waterbury Ln, Boise, ID 83706-5222 | 2020-10-09 |
| 1750999777 | Deanna Armenia Brent | Social Worker | 7450 W Althea Ct, Boise, ID 83709-1777 | 2020-07-15 |
| 1013533231 | Sylvia Oh | Social Worker | 2118 S Latah St, Boise, ID 83705-3947 | 2020-06-23 |
| 1417577412 | Stacey Titus Pllc | Social Worker | 5440 W Franklin Rd Ste 201, Boise, ID 83705-6434 | 2020-04-20 |
| 1447888656 | Berndt and Associates In Psychcare LLC | Social Worker | 4477 W Emerald St Ste C275, Boise, ID 83706-2078 | 2020-04-01 |
| 1528690773 | Marc Adrian Dominguez | Social Worker | 1299 N Orchard St Ste 110, Boise, ID 83706-2266 | 2020-02-06 |
| 1235774407 | Wildflower Intuitive Center, LLC | Social Worker | 4696 W Overland Rd Ste 276, Boise, ID 83705-2877 | 2019-11-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1821550203 | Alturas Counseling | Social Worker | 204 S Cole Rd, Boise, ID 83709-0934 | 2019-04-03 |
| 1750859856 | Jani Lynn Belcoe | Social Worker | 3029 N 32nd St, Boise, ID 83703-5001 | 2018-11-06 |
| 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.