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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. TAMARA K. PETTINGILL, LCSW

Active Sole Proprietor

MS. TAMARA K. PETTINGILL, LCSW is a Clinical Social Worker healthcare provider located in IDAHO FALLS, Idaho. NPI 1629081864 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · IDAHO FALLS, ID

Registration Details

NPI Number
1629081864
Provider Type
Individual
Gender
Female
NPI Issued
Aug 15, 2006 (19.958661872565 yrs)
Last Updated
Apr 21, 2025
License
LCSW-24477 (ID)
Sole Proprietor
Yes

Practice Information

Address
1302 E 17TH ST
IDAHO FALLS, ID, 834046270
Browse ID providers · Browse ZIP 83404
Phone
2085429199
Fax
2085426272
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in IDAHO FALLS, ID

Name Credential NPI
MS. JANICE ANNETTE LUNDEEN CSW 1699722546
EVELYN HUOT LCSW 1285671677
MRS. BARBARA A ROBINSON MSW 1942243480
DONEVAN B NEIDER LCSW 1447294004
CHARLOTTE ACKERMAN LCSW 1407890114
JARED D. MORRISON CSW 1407872377
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.