IVY SHANDEL WILLIAMS (NPI# 1912250051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912250051 |
| Entity Type | Individual |
| Full Name | IVY SHANDEL WILLIAMS |
| Credential | LMSW |
| Practice Address |
7711 W Riverside Dr Boise ID 83714-6182 |
| Practice Telephone | 2088538536 |
| Practice Fax Number | 2088532929 |
| Mailing Telephone | 2088538536 |
| Mailing Fax Number | 2088532929 |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2013-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LMSW32402 | ID | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LMSW32402 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104366004 | Ivy Williams | Physical Therapist | 3045 Kate Bond Rd, Memphis, TN 38133 | 2017-02-27 |
| Street Address |
7711 W RIVERSIDE DR |
| City | BOISE |
| State | ID |
| Zip Code | 83714-6182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710011515 | Anita Collier | Counselor | 7711 W Riverside Dr, Boise, ID 83714-6182 | 2007-03-15 |
| 1912518275 | Austin Sturdivant | Physical Therapist | 7711 W Riverside Dr, Boise, ID 83714-6182 | 2020-08-11 |
| 1699231456 | James Mcmurray | Physical Therapist | 7711 W Riverside Dr, Boise, ID 83714-6182 | 2019-02-18 |
| 1447758990 | Kapka Zlatkova Smith | Social Worker | 7711 W Riverside Dr, Boise, ID 83714-6182 | 2018-01-30 |
| 1912413279 | Ken Wells | Social Worker | 7711 W Riverside Dr, Boise, ID 83714-6182 | 2017-12-22 |
| 1104371293 | Rebecca Roth | Counselor | 7711 W Riverside Dr, Boise, ID 83714-6182 | 2016-08-18 |
| 1891144507 | Rebecca Davis | Social Worker | 7711 W Riverside Dr, Boise, ID 83714-6182 | 2016-06-03 |
| 1710378930 | Nichole Marie Schallenberger | Counselor | 7711 W Riverside Dr, Boise, ID 83714-6182 | 2015-02-10 |
| 1083044168 | Guadalupe Ayala | Social Worker | 7711 W Riverside Dr, Boise, ID 83714-6182 | 2013-11-26 |
| 1912244732 | Riverside Rehab Inc | Community/Behavioral Health | 7711 W Riverside Dr, Boise, ID 83714-6182 | 2013-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932683752 | Ikdo State Street LLC | Dentist | 9209 W State St, Garden City, ID 83714 | 2018-09-18 |
| 1437608007 | Carrie Boroughs Breaux | Ophthalmology | 5019 N Sawyer Ave, Garden City, ID 83714 | 2016-09-23 |
| 1841646007 | Alliance Medical Group, LLC | Family Medicine | 5601 W. Chinden Blvd., Garden City, ID 83714 | 2016-05-06 |
| 1134580467 | Rebecca Gillet | Physical Therapist | 6576 W Dufferin Ct, Boise, ID 83714 | 2016-03-15 |
| 1063816007 | Ingri Suzanne Koloski | Counselor | 8969 West Hepburn Lane, Garden City, ID 83714 | 2014-10-20 |
| 1679909329 | Anile Nina | Counselor | 5484 N Gary Lane, Boise, ID 83714 | 2013-09-25 |
| 1215360292 | William Blake Bybee | Dentist | 5833 W. Hidden Springs Dr., Boise, ID 83714 | 2013-08-14 |
| 1871833327 | Charmaine Read | Social Worker | 123 E. 44th St, Ste. A, Garden City, ID 83714 | 2013-02-20 |
| 1811206576 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 5220 Sawyer Court, Suite D, Garden City, ID 83714 | 2010-09-29 |
| 1073780680 | Barry Lynn Williams | Pharmacist | 7020 W State Street, Boise, ID 83714 | 2008-05-13 |
| Find all providers in zip 83714 | ||||
| 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.