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MR. ALEXI DIMITRIOS FANOPOULOS LMSW
NPI 1891442935
Social Worker - Clinical in Boise, ID

Active since March 08, 2022PECOS Enrolled
3076 N FIVE MILE RD, BOISE, ID 83713(208) 376-4999 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Alexi Dimitrios Fanopoulos Lmsw NPPES

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

MR. ALEXI DIMITRIOS FANOPOULOS LMSW (NPI 1891442935) is an individual clinical provider in Boise, Idaho, licensed in Idaho (LMSW-41913) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891442935
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. ALEXI DIMITRIOS FANOPOULOSCredential: LMSW
Location Address3076 N FIVE MILE RDBoise, ID 83713-5215
Mailing Address3076 N Five Mile RdBoise, ID 83713-5215 · (208) 376-4999
Phone(208) 376-4999
Sole ProprietorNo
Enumeration DateMarch 8, 2022
NPPES CertifiedMarch 8, 2022
✔ NPI 1891442935 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 · LMSW-41913
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.
3076 N FIVE MILE RD, Boise, ID 83713
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Alexi Dimitrios Fanopoulos Lmsw 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 83713 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 20

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

AARON ALEXANDER BEUSCHLEIN
Behavior Technician
3076 N FIVE MILE RD
BOISE, ID 83713
Ada County (208) 252-6531
STEVEN ADAM BARCENES BCBA
Behavior Analyst
3076 N FIVE MILE RD
BOISE, ID 83713
Ada County (208) 376-4999
COMMUNITY PARTNERSHIPS OF IDAHO, INC.
Case Management
3076 N FIVE MILE RD
BOISE, ID 83713
Ada County (208) 376-4999
DAKOTA RUSSELL
Behavior Technician
3076 N FIVE MILE RD
BOISE, ID 83713
Ada County (208) 252-6531
ROGER EVENSON LCSW-44535
Counselor (Mental Health)
3076 N FIVE MILE RD
BOISE, ID 83713
Ada County (208) 376-4999
JOCELYN CECCARELLI
Social Worker
3076 N FIVE MILE RD
BOISE, ID 83713
Ada County (208) 405-0640
CARLA VARGAS
Behavior Technician
3076 N FIVE MILE RD
BOISE, ID 83713
Ada County (208) 252-6531
BETHANY LYNN HITMAN
Behavior Technician
3076 N FIVE MILE RD
BOISE, ID 83713
Ada County (208) 252-6531

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 Alexi Fanopoulos's NPI number?

The NPI number for Alexi Fanopoulos is 1891442935. It was assigned to this individual provider in the NPPES registry on March 8, 2022.

Where is Alexi Fanopoulos located?

Alexi Fanopoulos practices at 3076 N Five Mile Rd, Boise, ID 83713. The listed phone number is (208) 376-4999.

What is Alexi Fanopoulos's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Alexi Fanopoulos enrolled in Medicare?

Yes. Alexi Fanopoulos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexi Fanopoulos was last updated on March 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.