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

Cedric Joesph Decory Jr., LMSW

Individual provider Clinical Social Worker · NPI 1619514510

Cedric Joesph Decory Jr., LMSW is a Clinical Social Worker in Boise, Idaho. Qualified in 2023, 3 years ago. Practices with Northend Wellness LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
3
Licensed in
ID
In the registry since
2019
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

2273 S Vista Ave Ste 190
Boise, ID 83705-7341
Phone: (208) 343-2737
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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 LMSW-39243 (ID)

Record details

NPI number1619514510
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorNo
NPI enumeratedDecember 10, 2019
Last updated in NPPESDecember 10, 2019
Certification dateDecember 10, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Northend Wellness Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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