Katrina M Dasenbrock, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-40451 Issued in ID

Practice address

1254 Bannock Ave
Idaho Falls, ID 83402-2055

Phone

(513) 815-1548

NPI assigned

Mar 11, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Katrina D Forsmann Former name

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Luke and Spencer Behavioral Health PLLCGroup PAC ID 5092167940, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Luke & Spencer Behavioral Health PLLC

  • Community/Behavioral Health Agency
  • Idaho Falls, ID
  • NPI 1427834571
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1255792743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 BANNOCK AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834022055",
            "telephone_number": "513-815-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 BANNOCK AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834022055",
            "telephone_number": "513-815-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASENBROCK",
        "first_name": "KATRINA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-11",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-40451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "FORSMANN",
            "middle_name": "D",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel K Hinckley MD PA
• Zachary Lucas Daniels
• Kathleen Dannehl
• Daron L. Scherr M.D. P. a.
• Craig Darrington, DDS
• Eric Davenport, LMSW
• Crystal David, LSW
• Roger Davies, A.T.,C.
• Stephanie Dawn Davies, CRTT
• Brett Dunford Davis, DMD

• Clinical Social Worker in Idaho Falls, ID
• Providers in Idaho Falls, 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 31, 2025; 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.