NPI 1104787555 · live from the CMS NPI Registry
Rebecca Marie Acevedo, LMSW
Social Worker in Boise, ID. National Provider Identifier 1104787555, active.
NPI record
| NPI | 1104787555 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 500 W Fort St, Boise, ID 83702 |
| Practice phone | 208-422-1000 |
| Mailing address | 673 W Gallaher St, Boise, ID 83706 |
| Enumerated | November 24, 2025 |
| Last updated | November 24, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | 6171169 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.