Ms. Jessica Dee Bastian
Social Worker
421 N 19th St
Boise
, Idaho 83702-3948
Ms. Jessica Dee Bastian
Social Worker
421 N 19th St
Boise
, Idaho 83702-3948
(208) 863-8210
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About
Features
Specialties
- Social Worker
Languages spoken
- English
Location
First Address
- Ms. Jessica Dee Bastian
- 3301 S Featherly Way
- Boise, ID
- Zip : 83709-5207
- Phone : (208) 863-8210
Second Address
- Ms. Jessica Dee Bastian
- 421 N 19th St
- Boise, ID
- Zip : 83702-3948
- Phone : (208) 863-8210
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 104100000X | Social Worker | LMSW-30582 | ID |
National Provider Identifier
| NPI | 1003185745 |
|---|---|
| Provider Name | Ms. Jessica Dee Bastian |
| First Address | Boise, ID 83709-5207 |
| Second Address | Boise, ID 83702-3948 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/12/2011 |
| Last Update Date | 27/12/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.