DOMINIQUE DAVI JUAREZ LCSW-39611
NPI 1871965533
Social Worker - Clinical in Caldwell, ID

Active since October 21, 2015PECOS Enrolled
314 BADIOLA ST, CALDWELL, ID 83605(208) 454-8389 Get Directions Write a Review

NPPES record last updated: July 7, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dominique Davi Juarez Lcsw-39611 NPPES

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

DOMINIQUE DAVI JUAREZ LCSW-39611 (NPI 1871965533) is an individual clinical provider in Caldwell, Idaho, licensed in Idaho (LCSW-39611) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1871965533
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDOMINIQUE DAVI JUAREZCredential: LCSW-39611
Location Address314 BADIOLA STCaldwell, ID 83605-4389
Mailing Address515 E Heritage Park StMeridian, ID 83646-6293 · (208) 371-8420
Sole ProprietorNo
Enumeration DateOctober 21, 2015
Last NPPES UpdateJuly 7, 2020
NPPES CertifiedJuly 7, 2020
NPI 1871965533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in ID · LCSW-39611
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

314 BADIOLA ST, Caldwell, ID 83605

Secondary Practice Location 1

Location 18950 W Emerald St, Suite 178Boise, ID 83704-4854 · Phone (208) 376-7083 · Fax (208) 321-5069

Other Identifiers 1

OtherLCSW39611ID · .

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dominique Davi Juarez Lcsw-39611 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.44 – $160.17
Typical copayment $0.00 (range $13.11 – $40.04)
Most-billed visit code NA
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

Community/Behavioral Health
314 BADIOLA ST
CALDWELL, ID 83605
Community/Behavioral Health
314 BADIOLA ST
CALDWELL, ID 83605
Case Management
314 BADIOLA ST
CALDWELL, ID 83605
Community/Behavioral Health
314 BADIOLA ST
CALDWELL, ID 83605
Social Worker
314 BADIOLA ST
CALDWELL, ID 83605
Social Worker
314 BADIOLA ST
CALDWELL, ID 83605
Social Worker
314 BADIOLA ST
CALDWELL, ID 83605
Social Worker (Clinical)
314 BADIOLA ST
CALDWELL, ID 83605

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871965533, enumerated as an "individual" on October 21, 2015.

The provider is located at 314 BADIOLA ST CALDWELL, ID 83605 and the phone number is (208) 454-8389.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: PacificSource Health Plans, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.