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Active NPI 1447691621 Individual Practitioner Female Practitioner

Olisa Bomley , LMSW

Social Worker • Lewiston, ID

Professional Overview & Biography Verified Profile Summary

Olisa Bomley, LMSW is a registered healthcare professional specializing in Social Worker in Lewiston, ID. Practice services are available at 415 6TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

415 6th St

Lewiston, ID 835012431

Telephone 2087465700
Fax 2087996504
Associated Practice Facility / Clinic
🏢 Phoenix Radiology, Pllc Facility NPI 1164493334

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Lewiston, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.5 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
34 Specialists

Practicing in Lewiston, ID (1625 Statewide)

Telehealth Adoption Rate
2.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-17
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License ID LMSW 29090

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Secondary Practice Locations

719 S Main St

Moscow, ID 838433041

Phone: 2088831152

623 S Main St Ste 1

Moscow, ID 838432983

Phone: 2088822011

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Katherine Troutman

Social Worker - Clinical

NPI 1013313667
Larry Bearden , MS

Counselor - Mental Health

NPI 1043753742

Master of Science

Lynn-Marie Peashka , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1205858289

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Chivonne Mraz , LCSW

Social Worker - Clinical

NPI 1235398017

Licensed Clinical Social Worker

Betty Weeks , LCSW

Social Worker - Clinical

NPI 1619241387

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 16, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 16, 2013

Registered at 415 6TH ST, LEWISTON, ID 835012431 (Tel: 2087465700)

📍
Updated Business Mailing Address July 16, 2013

Registered at 428 6TH AVE, LEWISTON, ID 835012355 (Tel: 2087465700)

👤
Provider Name / Credentials Updated July 16, 2013

Recorded as OLISA BOMLEY, LMSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2013

Social Worker (License #LMSW 29090 in ID)

🟢
Initial NPI Registration & Enumeration July 16, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447691621
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 16, 2013
Last Update: September 17, 2025
Sole Proprietor: No

Mailing Address

428 6th Ave

Lewiston, ID 835012355

Phone: 2087465700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.