P Praxis·MD
● Active Type 1 · Individual

Tina Rae Zimmerly, LMSW

Social Worker·Boise, ID· NPI 1245856095 · Enumerated 2020 · 5 years on NPI
Zimmerly is 1 of 459 social worker providers in Boise and 1 of 1613 in Idaho.
NPI age
5 years
Enumerated 2020-06-17
Primary specialty
Social Worker
Plus 1 subspecialty
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2021-02-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1613 active social worker providers in Idaho.

NPI age
5 years
≈ at median (5 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
1
In the 11% of peers with subspecialties

NPI lifetime · 2020 → 2026

2020-06Enumerated in NPPES
2020 2026

Where they practice

Practice location
8601 W Emerald St Ste 130
Boise, ID 837048209
📞 2086002184
Mailing address
702 Sunset Dr
Ontario, OR 979143121
📞 5418899167fax 5418897873

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2609 S 10th Ave Ste 102
Caldwell, ID 836056885
📞 2084542766fax 2084542771

Specialties

  • Social Worker Primary
    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...
    taxonomy 104100000X
  • Case Manager/Care Coordinator
    A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan...
    taxonomy 171M00000X

Identifiers

TypeValueNotes
01 (ID) LMSW-40409 IDAHO BOARD OF SOCIAL WORK EXAMINERS

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

Recently enumerated nearby: 29 new social worker providers have been added in Boise in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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