P Praxis·MD
● Active Type 1 · Individual

Breanna Ybeltje Bergevin, LMSW

Social Worker·Boise, ID· NPI 1942089636 · Enumerated 2023 · 2 years on NPI
Bergevin is 1 of 459 social worker providers in Boise and 1 of 1613 in Idaho.
NPI age
2 years
Enumerated 2023-09-22
Primary specialty
Social Worker
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-12-23
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
2 years
↓ 3 yr below median (5 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
1
In the 11% of peers with subspecialties

NPI lifetime · 2023 → 2026

2023-09Enumerated in NPPES
2023 2026

Where they practice

Practice location
148 S Cole Rd
Boise, ID 837090932
📞 2086838320fax 2089698380
Mailing address
148 S Cole Rd
Boise, ID 837090932
📞 2086838320fax 2089698380

Additional practice locations

4 secondary locations on file with NPPES.

Location 2
213 N Main St Ste 1b
Moscow, ID 838432700
📞 2086838320fax 2089698380
Location 3
509 S Middleton Rd Ste 104
Middleton, ID 836446047
📞 2086838320fax 2089698380
Location 4
496 Shoup Ave W Ste F
Twin Falls, ID 833015043
📞 2086838320fax 2089698380
Location 5
411 Main St. Unit F
Kamiah, ID 83536
📞 2086838320fax 2089698380

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 #45391 taxonomy 104100000X
  • Counselor
    Definition to come...
    ID license #45391 taxonomy 101YM0800X

Practice context

Part of a multi-provider practice. 75 other active providers share this practice address in NPPES.

Recently enumerated nearby: 29 new social worker providers have been added in Boise 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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