P Praxis·MD
● Active Type 1 · Individual

Jaden Charlotte-Margaret Provant, LMSW

Social Worker·Boise, ID· NPI 1538909098 · Enumerated 2024 · 1 years on NPI
Provant is 1 of 3 social worker providers in Boise and 1 of 11 in Idaho.
NPI age
1 years
Enumerated 2024-05-30
Primary specialty
Social Worker
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-05-30
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 11 active social worker providers in Idaho.

NPI age
1 years
↓ 3 yr below median (4 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
18% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-05Enumerated in NPPES
2024 2026

Where they practice

Practice location
2995 N Cole Rd
Boise, ID 837045964
📞 2089573950
Mailing address
2995 N Cole Rd
Boise, ID 837045964
📞 2089573950

Specialties

  • Social Worker Primary
    Definition to come...
    ID license #45221 taxonomy 1041S0200X

Practice context

Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.

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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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