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TINA RAE ZIMMERLY LMSW
NPI 1245856095
Social Worker in Boise, ID

Active since June 17, 2020
8601 W EMERALD ST STE 130, BOISE, ID 83704(208) 600-2184 Get Directions Write a Review

NPPES record last updated: February 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 1, 2021, Jan 11, 2021, Jun 17, 2020 (3 updates tracked since 2020).

About Tina Rae Zimmerly Lmsw NPPES

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

TINA RAE ZIMMERLY LMSW (NPI 1245856095) is an individual social worker in Boise, Idaho and active in the NPI registry since June 2020. She maintains a secondary practice location in Caldwell.

NPPES Registry Identity

NPI1245856095
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameTINA RAE ZIMMERLYCredential: LMSW
Location Address8601 W EMERALD ST STE 130Boise, ID 83704-8209
Mailing Address702 Sunset DrOntario, OR 97914-3121 · (541) 889-9167 · Fax (541) 889-7873
Phone(208) 600-2184
Sole ProprietorNo
Enumeration DateJune 17, 2020
Last NPPES UpdateFebruary 1, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2021
✔ NPI 1245856095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
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 counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
8601 W EMERALD ST STE 130, Boise, ID 83704
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Other Names 1

Former Name (1)Tina Rae Mancuso

Secondary Practice Location 1

Location 12609 S 10th Ave Ste 102Caldwell, ID 83605-6885 · Phone (208) 454-2766 · Fax (208) 454-2771

Other Identifiers 1

OtherLMSW-40409ID · Idaho Board Of Social Work Examiners

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 3

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

DEVON CHERE HOLLOWAY LPC
Counselor (Professional)
8601 W EMERALD ST STE 130
BOISE, ID 83704
Ada County (208) 600-2184
MRS. ELISSA PFAU LPC
Counselor (Professional)
8601 W EMERALD ST STE 130
BOISE, ID 83704
Ada County (208) 600-2184
DAPHNE LIGHTFOOT
Counselor (Mental Health)
8601 W EMERALD ST STE 130
BOISE, ID 83704
Ada County (208) 600-2184

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 Tina Zimmerly's NPI number?

The NPI number for Tina Zimmerly is 1245856095. It was assigned to this individual provider in the NPPES registry on June 17, 2020. The provider is also known as Tina Rae Mancuso.

Where is Tina Zimmerly located?

Tina Zimmerly practices at 8601 W Emerald St Ste 130, Boise, ID 83704. The listed phone number is (208) 600-2184.

What is Tina Zimmerly's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

What insurance does Tina Zimmerly accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Tina Zimmerly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tina Zimmerly was last updated on February 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.