IndividualActive
Breanna Gross, LMSW
NPI 1417634015 · Social Worker · Boise, ID
Provider details
- NPI number
- 1417634015
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- License
- LMSW-45283 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
300 S 23rd St
Boise, ID 83702-9100
Phone: (208) 344-3512
Fax: (208) 466-5359
Street-level locationGet directions
Mailing address
Po Box 9
Nampa, ID 83653-0009
Additional practice locations (1)
- 24424 W Mcnichols RdDetroit, MI 48219-3653Phone: (313) 531-2500
Registry dates
- Enumerated
- 2023-07-05
- Last updated
- 2024-08-22
- Certified
- 2024-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.