Kimberly Lynn Shelden, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-39199 Issued in ID

Practice address

2205 Ironwood PL Ste B
Coeur D Alene, ID 83814-2487

Phone

(208) 769-4222

Fax

(208) 667-7557

NPI assigned

Jun 8, 2017

Last updated

Mar 3, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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 1

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Transformation Mental Health Therapy, PLLC

  • Mental Health Counselor
  • Coeur d'Alene, ID
  • NPI 1033996236
  Medicare reassignment NPD Authorized official
• Lifehouse Healthcare PLLC

  dba Lifehouse Healthcare

  • Multi-Specialty Clinic/Center
  • Coeur d'Alene, ID
  • NPI 1467142315
  Medicare reassignment NPD
• Steps to Healing PLLC

  • Mental Health Counselor
  • Coeur d'Alene, ID
  • NPI 1346949518
  Medicare reassignment NPD

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1083143382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 N IRONWOOD PKWY STE 120",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142647",
            "telephone_number": "208-704-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 IRONWOOD PL STE B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142487",
            "telephone_number": "208-769-4222",
            "fax_number": "208-667-7557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 S 11th St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838144000",
            "country_code": "US",
            "telephone_number": "208-651-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELDEN",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LMSW-36782",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-39199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart T Sharp, PA
• Alyssa Anes Shaw, M.D.
• Daniel J Shaw, DDS
• Mary Jo Shaw, MD
• Robin R Shaw, MD
• Melanie Renee Shelden
• Christi Jean Shelley, MSOT, OTR
• Shellman Inc PA (North Idaho Physical Therapy)
• Shelly D Sanders LCSW, LLC
• Amy Sheppard

• Clinical Social Worker in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.