P Praxis·MD
● Active Type 1 · Individual

MRS. Kristina Nicholas Anderson, LSW, MASTERS STUDENT

Social Worker·Dalton Gardens, ID· NPI 1790904779 · Enumerated 2007 · 19 years on NPI
Nicholas Anderson is 1 of 1 social worker providers in Dalton Gardens and 1 of 1613 in Idaho.
NPI age
19 years
Enumerated 2007-04-25
Primary specialty
Social Worker
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
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
19 years
↑ 14 yr above median (5 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-04Enumerated in NPPES
2007 2026

Where they practice

Practice location
5624 N Government Way, Suite 7b
Dalton Gardens, ID 838157350
📞 2087629890fax 2087629892
Mailing address
5624 N Government Way, Suite 7b
Dalton Gardens, ID 838157350
📞 2087629890fax 2087629892

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 #LSW-2298 taxonomy 104100000X

Identifiers

TypeValueNotes
01 (ID) LSW-2298 BUR OCCUP LICEN - LSW

Practice context

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

Provyx · Custom healthcare lists

Need all 1613 Social Worker providers in Idaho?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

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.

Related