MS. PATRECE ELISABETH MOODY MEZA (NPI# 1649250564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649250564 |
| Entity Type | Individual |
| Full Name | MS. PATRECE ELISABETH MOODY MEZA |
| Other Name | PATRECE E MOODY MEZA |
| Credential | LCSW |
| Practice Address |
190 W. Main Street Kuna ID 83634-0959 |
| Mailing Address |
Po Box 959 190 W. Main Street Kuna Counseling Center Kuna ID 83634-0959 |
| Practice Telephone | 2087331996 |
| Mailing Telephone | 2089229001 |
| Mailing Fax Number | 2089223778 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2013-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
457 | ID | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW 457 | ID | Behavioral Health & Social Service Providers |
| Street Address |
190 W. MAIN STREET |
| City | KUNA |
| State | ID |
| Zip Code | 83634-0959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679942940 | Beverley Bellard | Counselor | 190 W. Main Street, Kuna, ID 83634 | 2015-09-17 |
| 1982006433 | Scott Urban | Counselor | 190 W. Main Street, Kuna, ID 83634-0900 | 2014-09-16 |
| 1518273549 | Robert Brandon Markham | Counselor | 190 W. Main Street, Kuna, ID 83634 | 2010-08-27 |
| 1225280753 | Jason Wilcox | Social Worker | 190 W. Main Street, Downstairs, Kuna, ID 83634 | 2008-10-15 |
| 1922256262 | Heather Esposito | Counselor | 190 W. Main Street, Downstairs, Kuna, ID 83634 | 2008-08-28 |
| 1023176815 | Ken Curtis | Counselor | 190 W. Main Street, Kuna, ID 83634 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780298430 | Alliance Medical Group, LLC | Family Medicine | Kuna Primary Health Medical Group, 1474 N. Meridian Road, Kuna, ID 83634 | 2020-09-01 |
| 1558896506 | Nicholas Tock | Social Worker | 190 W Main Street, Kuna, ID 83634 | 2017-04-27 |
| 1790137073 | Jeremy Walker | Dentist | 1353 N Meridian Rd, Ste 101, Kuna, ID 83634 | 2016-07-11 |
| 1194171678 | Kidspeak LLC | Occupational Therapist | 525b Main St, Kuna, ID 83634 | 2016-05-13 |
| 1447617139 | Matt Jordan | Nurse Practitioner | 13900 South Pleasant Valley Road, Kuna, ID 83634 | 2016-01-26 |
| 1386063980 | Colin Brown | Physician Assistant | 13500 S. Pleasant Valley, Kuna, ID 83634 | 2014-04-10 |
| 1912329806 | Brady Tucker | Pharmacist | 1403 North Meridian Rd, Kuna, ID 83634 | 2014-01-10 |
| 1427489954 | Ridley's Family Markets, Inc | Pharmacy | 1403 N Meridian Rd, Kuna, ID 83634 | 2013-12-10 |
| 1538414354 | William Lincoln Poulson | Nurse Practitioner | 13500 South Pleasant Valley Road, Kuna, ID 83634 | 2012-07-18 |
| 1508036286 | Michelle Marie Montoya | Counselor | 190 W. Main St, Kuna, ID 83634 | 2008-03-10 |
| Find all providers in zip 83634 | ||||
| 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 |
|---|---|---|---|---|
| 1013450667 | Noel Hudon | Social Worker | 309 E Whitbeck St, Kuna, ID 83634-5116 | 2016-11-30 |
| 1700968294 | Courtney Jensen Myers | Social Worker | 190 West Main Street, Kuna, ID 83634 | 2006-10-20 |
| 1548568397 | Ronda Kay Cox | Social Worker | 190 W. Main St., Kuna, ID 83634 | 2011-03-03 |
| 1598944159 | Melissa A. Woods | Social Worker | 190 W. Main St., Kuna, ID 83634-1792 | 2007-10-31 |
| 1285845123 | Melodie Jeannie Reinke | Social Worker | 190 W Main St, Kuna, ID 83634 | 2007-05-24 |
| 1457433930 | Dolly Anne Barnes | Social Worker | 190 West Main Street, Kuna, ID 83634 | 2006-10-20 |
| 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 |
| 1164040820 | Sylinda Lee Mendenhall | Social Worker | 771 S Jafer Court, Idaho Falls, ID 83401-8404 | 2020-07-09 |
| 1013533231 | Sylvia Oh | Social Worker | 2118 S Latah St, Boise, ID 83705-3947 | 2020-06-23 |
| 1073135851 | Kimberly Ruth Carey | Social Worker | 6160 Dallas Ln, Bonners Ferry, ID 83805-9794 | 2020-05-14 |
| 1497377469 | Raising Resilience Holistic Mental Wellness Inc | Social Worker | 610 W Hubbard St Ste 226, Coeur D Alene, ID 83814-2200 | 2020-05-13 |
| 1417577412 | Stacey Titus Pllc | Social Worker | 5440 W Franklin Rd Ste 201, Boise, ID 83705-6434 | 2020-04-20 |
| 1922627314 | Taresa Dawn Crow | Social Worker | 3655 Samuel St, Ammon, ID 83406-7822 | 2020-04-15 |
| 1447888656 | Berndt and Associates In Psychcare LLC | Social Worker | 4477 W Emerald St Ste C275, Boise, ID 83706-2078 | 2020-04-01 |
| 1467086603 | Abundant Serenity LLC | Social Worker | 925 N Main St Ste A, Meridian, ID 83642-2301 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
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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.