P Praxis·MD
● Active Type 2 · Organization

Soul Sage, Llc

Social Worker·Boise, ID· NPI 1356998421 · Enumerated 2019 · 6 years on NPI
Soul Sage, Llc is 1 of 2000 social worker organizations in Idaho.
NPI age
6 years
Enumerated 2019-08-22
Primary specialty
Social Worker
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lacombe Nelson
Sole Mbr/ Owner
Last NPPES update
2020-03-10
Source: monthly bulk 2026-05

How this organization compares

Across 2000 active social worker providers in Idaho.

NPI age
6 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2019 → 2026

2019-08Enumerated in NPPES
2019 2026

Where they practice

Primary practice location
1617 W Jefferson St
Boise, ID 837025111
📞 2084888864
Mailing address
9683 W Homewood Dr
Boise, ID 837095334
📞 2088860271

Authorized official

Celeste Lacombe Nelson, LCSW
Sole Mbr/ Owner
📞 2084888864

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...
    taxonomy 1041C0700X

Identifiers

TypeValueNotes
01 (ID) AETNA 60054
05 (ID) 020200107001043

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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