Deanna Boyadjyan Nibbs, is a
Social Worker - Clinical based in Boise, Idaho. Deanna Boyadjyan Nibbs is licensed to practice in Utah (license number LCSW-41181) and her current practice location is
4750 N Five Mile Rd Ste 100, Boise, Idaho. She can be reached at her office (for appointments etc.) via phone at
(888) 949-4864.
NPI number for Deanna Boyadjyan Nibbs is 1619378676 and her current mailing address is 3737 W 4100 S, West Valley City, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619378676.
Healthcare Provider's Profile
| Full Name | Deanna Boyadjyan Nibbs |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 4750 N Five Mile Rd Ste 100, Boise, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1619378676
- Provider Enumeration Date: 09/09/2014
- Last Update Date: 11/06/2025
Medical Identifiers
Medical identifiers for Deanna Boyadjyan Nibbs such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619378676 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-41181 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deanna Boyadjyan Nibbs is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Deanna Boyadjyan Nibbs,
3737 W 4100 S,
West Valley City, UT 84120-5543
Ph: () - | Deanna Boyadjyan Nibbs,
4750 N Five Mile Rd Ste 100,
Boise, ID 83713-2715
Ph: (888) 949-4864 |
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