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

Issa Ntakarutimana, LCSW

Individual provider Clinical Social Worker · NPI 1821681982

Issa Ntakarutimana, LCSW is a Clinical Social Worker in Boise, Idaho. Qualified in 2019, 7 years ago. Accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
7
Licensed in
ID
In the registry since
2021
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

500 W Bannock St
Boise, ID 83702-5916
Phone: (208) 598-8442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (ID)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1821681982
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 18, 2021
Last updated in NPPESMay 18, 2025
Certification dateMay 18, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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