Organization
NEW DAWN COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA D. CALDERWOOD LCSW, LICSW (PROVIDER)
(208) 552-9174
Entity
Organization
Contact information
Practice address
650 10TH ST, IDAHO FALLS, ID 83404-5067
(208) 552-9174
(208) 552-9175
Mailing address
650 10TH ST, IDAHO FALLS, ID 83404-5067
(208) 552-9174
(208) 552-9175
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW-27801
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-27801
ID
251S00000X
Community/Behavioral Health Agency
LCSW-27801
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16960090
MEDICARE PART B
ID
05
—
1912182163
—
ID
Enumeration date
01/07/2008
Last updated
04/17/2026
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