Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Family Practice Medical

Organization Social Worker · NPI 1649392200

Family Practice Medical provides Social Worker services in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007

Practice location Address checks out

777 N Raymond St
Boise, ID 83704-9251
Phone: (208) 367-6030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LCSW-24633 (ID)

Record details

NPI number1649392200
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tom Ahlrichs — Social Worker · (208) 367-6030
NPI enumeratedApril 4, 2007
Last updated in NPPESAugust 22, 2020
Mailing address6318 Bermuda Dr, Boise, ID 83709-1009

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