MARY MARDELL SMITH (NPI# 1497907869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497907869 |
| Entity Type | Individual |
| Full Name | MARY MARDELL SMITH |
| Credential | LCSW |
| Practice Address |
540 3rd St Idaho Falls ID 83401-3953 |
| Mailing Address |
306 E 24th St Idaho Falls ID 83404-6947 |
| Practice Telephone | 2085245607 |
| Mailing Telephone | 2085286364 |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2008-10-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-1005 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604133 | Mary Smith | Technician | 3306 Cypress Ave, Cleveland, OH 44109-4935 | 2020-09-22 |
| 1275147209 | Mary Irene Smith | Technician | 490 Court St, Fort Gay, WV 25514-9304 | 2020-09-08 |
| 1679183560 | Mary Jean Smith | Counselor | 2105 Capurro Way Ste 270, Sparks, NV 89431-8518 | 2020-08-05 |
| 1346863016 | Mary Maegan Smith | Physical Therapy Assistant | 4545 State Highway 135 N, Jacksonville, TX 75766-6971 | 2020-05-28 |
| 1326668716 | Mary Smith | Adult Companion | 2546 Ne 11th Pl, Gainesville, FL 32641-4886 | 2020-04-25 |
| 1912534256 | Mary Margaret Smith | Dietitian, Registered | 756 Forest Dr, Mayville, WI 53050-1704 | 2020-03-26 |
| 1265074454 | Mary Elizabeth Smith | Nurse Practitioner | 1441 Ne 10th Ave # Aev, Payette, ID 83661-5420 | 2019-10-09 |
| 1477014686 | Mary Smith | Physical Therapy Assistant | 209 Laura Springs Dr, Salisbury, NC 28146-7216 | 2019-03-29 |
| 1578040341 | Mary Stefanie Smith | Marriage & Family Therapist | 17581 Via Sereno, Monte Sereno, CA 95030-3201 | 2018-07-25 |
| 1720588817 | Mary Smith | Home Health Aide | 5333 Dix St Ne, Washington, DC 20019-6664 | 2018-02-15 |
| Street Address |
540 3RD ST |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83401-3953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811023146 | Joshua D. Smith and Associates Inc | Case Management | 540 3rd St, Idaho Falls, ID 83401 | 2007-02-23 |
| 1902419658 | Holly Marie Cruz | Student in an Organized Health Care Education/Training Program | 540 3rd St, Idaho Falls, ID 83401-3953 | 2020-08-24 |
| 1801438650 | Cherla Ladawn Randall | Social Worker | 540 3rd St, Idaho Falls, ID 83401-3953 | 2019-10-14 |
| 1366964736 | Katherine Ann Rodriguez | Rehabilitation Practitioner | 540 3rd St, Idaho Falls, ID 83404 | 2017-07-07 |
| 1710391529 | Kelly Gregson | Social Worker | 540 3rd St, Idaho Falls, ID 83401-3953 | 2014-06-19 |
| 1811301617 | John Clark | Social Worker | 540 3rd St, Idaho Falls, ID 83401-3953 | 2014-06-19 |
| 1689088593 | Clayden Porter | Social Worker | 540 3rd St, Idaho Falls, ID 83401-3953 | 2014-06-18 |
| 1649684515 | Rex Hanson | Social Worker | 540 3rd St, Idaho Falls, ID 83401-3953 | 2014-06-18 |
| 1962816942 | Patti Mathews | Social Worker | 540 3rd St, Idaho Falls, ID 83401-3953 | 2014-06-17 |
| 1144657966 | Ethan Smith | Social Worker | 540 3rd St, Idaho Falls, ID 83401-3953 | 2013-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454796 | Natalie M Theriault | Acupuncturist | 864 S Holmes, Idaho Falls, ID 83401 | 2020-10-09 |
| 1366099293 | Idaho Recovery Center, LLC. | Counselor | 771 South Woodruff Avenue, Idaho Falls, ID 83401 | 2019-08-26 |
| 1851859110 | Rebecca Chidester | Counselor | 771 Parkwood St., Idaho Falls, ID 83401 | 2019-03-06 |
| 1467924985 | Benchmark Home Health | Registered Nurse | 2098 Gladys Dr., Idaho Falls, ID 83401 | 2018-12-21 |
| 1134625338 | Idaho Falls Hand Therapy Limited Partnership | Clinic/Center | 564 S Woodruff Avenue, Idaho Falls, ID 83401 | 2018-04-05 |
| 1992227367 | Brenda Emery | Rehabilitation Practitioner | 540 3rd Street, Idaho Falls, ID 83401 | 2017-07-07 |
| 1689068454 | Addiction Treatment Centers of Idaho | Community/Behavioral Health | 211 S. Woodruff Avenue, Idaho Falls, ID 83401 | 2015-03-19 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| 1487994430 | Sterling Physician Group Pllc | Clinic/Center | 740 S. Woodruff Ave, Idaho Falls, ID 83401 | 2013-02-27 |
| 1952638025 | Allstar Counseling Inc. | Case Management | 550 2nd Street, Suite 269, Idaho Falls, ID 83401 | 2009-11-11 |
| Find all providers in zip 83401 | ||||
| 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 | 83401 |
Please comment or provide details below to improve the information on MARY MARDELL SMITH.
| 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.