Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrea Gilman, LCSW42922

Individual provider Social Worker · NPI 1184242299

Andrea Gilman, LCSW42922 is a Clinical Social Worker in Boise, Idaho. Qualified in 2007, 19 years ago. Practices with Public Health District IV, a 2-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
19
Licensed in
ID
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1985 N Maple Grove Rd
Boise, ID 83704-6931
Phone: (208) 391-0904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-42922 (ID)
Social Worker Taxonomy 104100000X · Licence 28213 (ID)

Record details

NPI number1184242299
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW42922
Sole proprietorYes
NPI enumeratedJuly 6, 2020
Last updated in NPPESApril 17, 2023
Certification dateApril 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Public Health District Iv — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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