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MR. MATTHEW BLAISE MCDANIEL LMSW
NPI 1164019303
Counselor - Addiction (Substance Use Disorder) in Boise, ID

Active since December 22, 2020
9196 W BARNES DR, BOISE, ID 83709(208) 433-0400(208) 378-5824 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Matthew Blaise Mcdaniel Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MATTHEW BLAISE MCDANIEL LMSW (NPI 1164019303) is an individual addiction (substance use disorder) provider in Boise, Idaho, licensed in Idaho (LMSW-38732) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1164019303
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. MATTHEW BLAISE MCDANIELCredential: LMSW
Location Address9196 W BARNES DRBoise, ID 83709-1552
Mailing Address9196 W Barnes DrBoise, ID 83709-1552 · (208) 433-4000 · Fax (208) 378-5824
Phone(208) 433-0400
Fax(208) 378-5824
Sole ProprietorYes
Enumeration DateDecember 22, 2020
NPPES CertifiedDecember 22, 2020
✔ NPI 1164019303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in ID · LMSW-38732
9196 W BARNES DR, Boise, ID 83709
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BENJAMIN RAMON LARA LMSW
Social Worker
9196 W BARNES DR
BOISE, ID 83709
Ada County (208) 433-0400
MR. DAROLD BREUER CADC
Counselor (Addiction (Substance Use Disorder))
9196 W BARNES DR
BOISE, ID 83709
Ada County (208) 433-0400
KATHLEEN CARMEL GEORGE LMSW
Social Worker
9196 W BARNES DR
BOISE, ID 83709
Ada County (208) 433-0400
MS. DEBORAH K. SHAFFER LMSW, QSUDP
Counselor (Addiction (Substance Use Disorder))
9196 W BARNES DR
BOISE, ID 83709
Ada County (208) 433-0400
TERRY SHAKE
Social Worker
9196 W BARNES DR
BOISE, ID 83709
Ada County (208) 433-0400
LISA SUMMERS
Counselor
9196 W BARNES DR
BOISE, ID 83709
Ada County (208) 433-0400
DIANNA MURPHY CADC
Counselor (Addiction (Substance Use Disorder))
9196 W BARNES DR
BOISE, ID 83709
Ada County (208) 433-0400
STEPHANIE LYNN WATTS CADC
Counselor (Addiction (Substance Use Disorder))
9196 W BARNES DR
BOISE, ID 83709
Ada County (208) 433-0400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Mcdaniel's NPI number?

The NPI number for Matthew Mcdaniel is 1164019303. It was assigned to this individual provider in the NPPES registry on December 22, 2020.

Where is Matthew Mcdaniel located?

Matthew Mcdaniel practices at 9196 W Barnes Dr, Boise, ID 83709. The listed phone number is (208) 433-0400.

What is Matthew Mcdaniel's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Matthew Mcdaniel was last updated on December 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.