Northwest Neurobehavioral Health, LLC
NPI 1013223445ActiveOrganization· Social Worker, Clinical· Meridian, ID
Social Worker, Clinical in Meridian, Idaho, registered in NPPES in August 2010. The authorized official on file is Jennifer A. La Jeunesse, LCSW, CMPE, Co-Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1013223445 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 23, 2010 |
| Last updated in NPPES | Aug 17, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | LCSW-28431 | ID |
| Psychologist, Clinical | 103TC0700X | PSY-202425 | ID |
| Psychologist, Clinical | 103TC0700X | PSY-202505 | ID |
| Social Worker | 104100000X | LMSW-29787 | ID |
| Social Worker | 104100000X | LMSW-30636 | ID |
| Speech-Language Pathologist | 235Z00000X | SLP-1687 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
Other clinical social workers in Meridian
- 1063157089
- 1104498229
- 1124307756
- 1134702194
- 1134846959
- 1154952901
- 1174979470
- 1235089947
- 1235808528
- 1265838601
- 1326817040
- 1386554905
All 135 clinical social workers in Meridian · All clinical social workers in Idaho