Individual
MR. SHAWN ROBERT ISRAELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2265 W BROADWAY ST, IDAHO FALLS, ID 83402-2996
(208) 524-7400
(208) 534-8004
Mailing address
2275 W. BROADWAY ST #G, IDAHO FALLS, ID 83402-2902
(208) 524-7400
(208) 524-8004
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCSW-44276
ID
104100000X
Social Worker
LMSW-18733
AZ
104100000X
Social Worker
LMSW-40331
ID
1041C0700X
Clinical Social Worker
8722060-3502
UT
1041C0700X
Clinical Social Worker
8722060-3502CSW
UT
Other
Enumeration date
11/03/2020
Last updated
10/18/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us