P Praxis·MD
● Active Type 1 · Individual

MRS. Dara J. Ezzell-Pebworth, LMSW

Social Worker·Caldwell, ID· NPI 1760111082 · Enumerated 2022 · 3 years on NPI
Ezzell-Pebworth is 1 of 51 social worker providers in Caldwell and 1 of 1613 in Idaho.
NPI age
3 years
Enumerated 2022-06-10
Primary specialty
Social Worker
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-05-14
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
3 years
↓ 2 yr below median (5 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-06Enumerated in NPPES
2022 2026

Where they practice

Practice location
28371 El Paso Rd Bldg A
Caldwell, ID 836077521
📞 2089725514
Mailing address
1871 Spanish Fork Way Apt N204
Meridian, ID 836425650
📞 2083898338

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...
    ID license #42343 taxonomy 104100000X

Practice context

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

Recently enumerated nearby: 1 new social worker provider has been added in Caldwell 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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