Individual provider Active NPI

Rhet Dalling, LCSW

  • Clinical Social Worker
  • Rexburg, ID
National Provider Identifier
1104184738
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-30107 Issued in ID
Practice address
72 S 1St E Ste 103
Rexburg, ID 83440-1902
Phone
(208) 356-4900
Fax
(208) 372-1023
NPI assigned
May 2, 2012
Sex
Male
Sole proprietor
No

Organizations & group practices 8

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

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upper Valley Community Health Services Inc 31 clinicians

Practice addresses (Care Compare)

335 E Main St
Suite 3
Saint Anthony, ID 83445-1546
Phone (208) 356-4900

Medicare participation

Medicare enrollment files
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20221201000728 ID Practitioner - Clinical Social Worker 1355719964 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Valley Community Health Services Inc Current Accepting new patients
Upper Valley Community Health Services Inc Social Worker CurrentSince Feb 12, 2024 Accepting new patients
Affinity Counseling LLC Clinical Past Accepting new patients
Upper Valley Community Health Services Inc Social Worker Past Accepting new patients

Locations

72 S 1st E
Ste 101
Rexburg, ID 83440

72 S 1st E
Ste 103
Rexburg, ID 83440

335 E Main St
Ste 3
Saint Anthony, ID 83445
Phone (208) 624-4100

20 N 3rd E
Saint Anthony, ID 83445
Phone (208) 624-4100

335 E Main St
Ste 1
Saint Anthony, ID 83445

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-30107 ID Primary

Addresses

NPPES NPI Registry

Primary practice location

72 S 1St E Ste 103
Rexburg, ID 83440-1902

Mailing address

PO Box 18
Saint Anthony, ID 83445-0018
Phone (208) 356-4900

Other practice location 1

335 E Main St Ste 3
Saint Anthony, ID 83445-1546
Phone (208) 356-4900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 16, 2025.

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1104184738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18",
            "city": "SAINT ANTHONY",
            "state": "ID",
            "postal_code": "834450018",
            "telephone_number": "208-356-4900",
            "fax_number": "208-624-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 S 1ST E STE 103",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401902",
            "telephone_number": "208-356-4900",
            "fax_number": "208-372-1023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "335 E Main St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Saint Anthony",
            "state": "ID",
            "postal_code": "834451546",
            "country_code": "US",
            "telephone_number": "208-356-4900",
            "fax_number": "208-624-4030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALLING",
        "first_name": "RHET",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-02",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-30107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rexburg, ID

Sources for this page

Verify at the official NPI Registry.