Individual provider Active NPI

Elizabeth Roberta Harding, LCSW, CSW

  • Clinical Social Worker
  • Idaho Falls, ID
National Provider Identifier
1043732274
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-41012 Issued in ID
Practice address
661 S Woodruff Ave
Idaho Falls, ID 83401-5596
Phone
(801) 655-5450
Fax
(385) 225-9327
NPI assigned
Jul 10, 2017
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14007990-3501 UT
Clinical Social Worker 1041C0700X LC24363 ME
Clinical Social Worker 1041C0700X LCSW-41012 ID Primary

Addresses

Primary practice location

661 S Woodruff Ave
Idaho Falls, ID 83401-5596

Mailing address

1469 N 1200 W
Orem, UT 84057-2449
Phone (801) 655-5450

Other practice location 1

1469 N 1200 W
Orem, UT 84057-2449
Phone (801) 655-5450

Other practice location 2

1433 N 1200 W
Orem, UT 84057-2449
Phone (801) 655-5450

Other names 1

  • Liz Harding Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210802003514 ID Practitioner - Clinical Social Worker 8022412808 Reassigns benefits to 3 organizations
I20260413000525 UT Practitioner - Clinical Social Worker 8022412808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1433 N 1200
Orem, UT 84057-2449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-41012IDMDClinical Social Worker
LC24363MEMDClinical Social Worker
14007990-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pettingill Counseling Services, Professional Corporation Mental Health CurrentSince Aug 16, 2022 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Jul 1, 2025 Accepting new patients
Meadowbrook Counseling of Utah LLC Mental Health CurrentSince Mar 13, 2026 Accepting new patients

Locations

950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689

950 W Bannock St
Boise, ID 83702
Phone (208) 602-7007

1302 E 17th St
Idaho Falls, ID 83404
Phone (208) 542-9919

1469 N 1200 W
Orem, UT 84057
Phone (801) 210-1432

1433 N 1200 W
Orem, UT 84057
Phone (801) 210-1432

Networks

  • UT PPO D-SNP
  • UT PPO

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1043732274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1469 N 1200 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572449",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 S WOODRUFF AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015596",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1469 N 1200 W",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "840572449",
            "country_code": "US",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1433 N 1200 W",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "840572449",
            "country_code": "US",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDING",
        "first_name": "ELIZABETH",
        "middle_name": "ROBERTA",
        "credential": "LCSW, CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "14007990-3501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC24363",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-41012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZ",
            "last_name": "HARDING",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.