MR. ROBERT SIDDOWAY (NPI# 1235523457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235523457 |
| Entity Type | Individual |
| Full Name | MR. ROBERT SIDDOWAY |
| Credential | LCSW |
| Practice Address |
254 E St Suite B Idaho Falls ID 83402-3527 |
| Practice Telephone | 2083390816 |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-34243 | ID | Behavioral Health & Social Service Providers |
| Street Address |
254 E ST SUITE B |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83402-3527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841269537 | Janet Louise Corson Stanton | Nurse Practitioner | 254 E St, Idaho Falls, ID 83402-3527 | 2006-03-15 |
| 1457791550 | David Strong | Counselor | 254 E St, Ste B, Idaho Falls, ID 83402-3527 | 2013-07-03 |
| 1386084648 | Shireen A Wheeler | Social Worker | 254 E St, Ste B, Idaho Falls, ID 83402-3527 | 2013-07-01 |
| 1205036001 | District Seven Health Department | Public Health or Welfare | 254 E St, Idaho Falls, ID 83402-3527 | 2007-07-19 |
| 1669595864 | Id Dept of Health & Welfare Cshp (hd6) | Pediatrics | 254 E St, Idaho Falls, ID 83402-3527 | 2007-04-10 |
| 1346362084 | Id Dept of Health & Welfare Cshp (hd7) | Pediatrics | 254 E St, Idaho Falls, ID 83402-3527 | 2007-04-04 |
| 1922068261 | Connie L Henry | Nurse Practitioner | 254 E St, Idaho Falls, ID 83402-3527 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648015 | Abigail Oakley | Counselor | Tueller Counseling Services, 2275 W Broadway Suite G, Idaho Falls, ID 83402 | 2020-10-30 |
| 1265041479 | Fresenius Medical Care Snake River | Clinic/Center | 3195 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-24 |
| 1295352391 | Fresenius Medical Care Idaho Falls, LLC | Clinic/Center | 3193 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-06 |
| 1952923765 | Sterling Provider Group | Clinic/Center | 7017 Daisy Lane, Idaho Falls, ID 83402 | 2020-05-14 |
| 1528604188 | Leslie Hendrian | Massage Therapist | 86 N Kaylee Circle, Idaho Falls, ID 83402 | 2019-11-19 |
| 1154966760 | Christine Nicole Cardona | Counselor | 855 N. Captital Ave Ste 1, Idaho Falls, ID 83402 | 2019-11-07 |
| 1750847786 | Brandi S Warnke | Social Worker | 254 E Street, Suite B, Idaho Falls, ID 83402 | 2019-02-14 |
| 1013402809 | Kailey Lynn Moore | Pharmacist | 376 West 18th Street, Idaho Falls, ID 83402 | 2018-06-25 |
| 1407368616 | Jessica Owsley | Social Worker | 2275 W Broadway Ste G, Idaho Falls, ID 83402 | 2017-10-27 |
| 1427419886 | Becky Allen | Developmental Therapist | 150 Shoupe Ave, Idaho Falls, ID 83402 | 2016-03-14 |
| Find all providers in zip 83402 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164040820 | Sylinda Lee Mendenhall | Social Worker | 771 S Jafer Court, Idaho Falls, ID 83401-8404 | 2020-07-09 |
| 1750847786 | Brandi S Warnke | Social Worker | 254 E Street, Suite B, Idaho Falls, ID 83402 | 2019-02-14 |
| 1487136420 | Ryan Brent Beckstead | Social Worker | 490 Park Ave Ste 4, Idaho Falls, ID 83402-1230 | 2018-09-06 |
| 1780100719 | Hope Mental Health | Social Worker | 2235 12th St, Idaho Falls, ID 83404-5703 | 2017-08-22 |
| 1427571736 | Wixom Counseling Inc | Social Worker | 4344 E Nibley Cir, Idaho Falls, ID 83401-3783 | 2017-07-18 |
| 1306376843 | Rachel Clark | Social Worker | 2235 12th St Apt F146, Idaho Falls, ID 83404-5743 | 2017-06-18 |
| 1962881482 | Megan Howard | Social Worker | 1970 E 17th St Ste 208, Idaho Falls, ID 83404-8048 | 2015-05-29 |
| 1073906012 | Candis Caye Moss | Social Worker | 2678 Galway Cir, Idaho Falls, ID 83404-7392 | 2015-03-16 |
| 1649660663 | Christopher Brayton | Social Worker | 1553 S Lee Ave, Idaho Falls, ID 83404-5936 | 2015-01-29 |
| 1184026619 | Stephanie Christensen | Social Worker | 2635 Channing Way Ste B, Idaho Falls, ID 83404-7518 | 2014-09-16 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83402 |
Please comment or provide details below to improve the information on MR. ROBERT SIDDOWAY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.