P Praxis·MD
● Active Type 1 · Individual

Theresa Lea Niederkruger, LCSW

Social Worker·Meridian, ID· NPI 1316020779 · Enumerated 2006 · 19 years on NPI
Niederkruger is 1 of 118 social worker providers in Meridian and 1 of 2000 in Idaho.
NPI age
19 years
Enumerated 2006-10-21
Primary specialty
Social Worker
Licensed in
MN
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-07-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2000 active social worker providers in Idaho.

NPI age
19 years
↑ 9 yr above median (10 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
29% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
573 N Mineral Wells Ave
Meridian, ID 836427609
📞 2088718468
Mailing address
573 N Mineral Wells Ave
Meridian, ID 836427609
📞 2088718468

Specialties

  • Social Worker Primary
    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...
    MN license #29200 taxonomy 1041C0700X

Identifiers

TypeValueNotes
05 (ID) 807382800
05 (ID) 806552901
01 (ID) 830415084 83651 A001 TRICARE PROVIDER NUMBER

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 6 new social worker providers have been added in Meridian 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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