Active NPIIndividual providerSole proprietor

Ken Macanka

Social Worker, Clinical in Boise, Idaho

NPI Number1598940520
Practice location
444 W Fort St Fl 2, Boise, ID 83702-4535
Fax
—
Last updated
May 11, 2026

Ken Macanka is a Social Worker, Clinical based in Boise, ID. Ken Macanka practices in Boise, ID. The NPI Number for Ken Macanka is 1598940520. The current practice location address for Ken Macanka is 444 W Fort St Fl 2, Boise, ID 83702-4535 and can be reached out via phone at 208-422-1018.

Provider Profile Details

NPI Number
1598940520
Provider Name
Ken Macanka
Provider Entity Type
Individual
Gender
Male
Address
444 W Fort St Fl 2, Boise, ID 83702-4535
Phone Number
208-422-1018
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 9, 2008
Last Update Date
May 11, 2026
Certification Date
August 23, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
444 W Fort St Fl 2
Boise, ID 83702-4535
City
Boise
State
Idaho
Zip
83702-4535
Phone Number
208-422-1018
Boise, ID 83702Get directions →

Provider Business Mailing Address Details

Address
419 Center RD
Easton, CT 06612-1649
City
Easton
State
CT
Zip
06612-1649

License Information

License State
CT
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ken Macanka?

The NPI number of Ken Macanka is 1598940520. It was assigned on January 9, 2008 and is currently active in the NPPES registry.

What is the specialty of Ken Macanka?

Ken Macanka is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Ken Macanka practice?

The practice location is 444 W Fort St Fl 2, Boise, ID 83702-4535. The office can be reached at 208-422-1018 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598940520 directly on the NPPES registry website.

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