Individual
SHAYLENE PENINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3914 SUMMER SUN, IDAHO FALLS, ID 83404-8271
(208) 206-3153
Mailing address
3914 SUMMER SUN, IDAHO FALLS, ID 83404-8271
(208) 206-3153
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW35524
ID
Other
Enumeration date
02/10/2013
Last updated
07/11/2025
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