Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHAWN ROBERT ISRAELSEN, LCSW
ActiveMR. SHAWN ROBERT ISRAELSEN, LCSW is a Professional Counselor healthcare provider located in IDAHO FALLS, Idaho. NPI 1629679048 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1629679048
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 3, 2020 (5.7522637532287 yrs)
- Last Updated
- Oct 18, 2023
- Licenses
-
LMSW-18733 (AZ)LMSW-40331 (ID)8722060-3502 (UT)8722060-3502CSW (UT)LCSW-44276 (ID)
Practice Information
- Address
-
2265 W BROADWAY STIDAHO FALLS, ID, 834022996Browse ID providers · Browse ZIP 83402
- Phone
- 2085247400
- Fax
- 2085348004
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Social Worker
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| MRS. SUSAN KAY JONES | LCSW28190 | 1174537203 |
| DOUG HULETT | LCPC | 1467562603 |
| ERIC VERNON PETTINGILL | LCPC | 1881791754 |
| JESSICA L WALDRON | LCPC | 1861588774 |
| BRAD BAKER | PHD | 1245391549 |
| MR. ROBERT M. TRIPP | M.S. | 1578615696 |
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.