Active NPI
Stephen Neiner, LCSW
- Clinical Social Worker
- Pocatello, ID
National Provider Identifier
1376102350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-39749
- Practice address
- 220 Warren Ave
Pocatello, ID 83201-4639 - Phone
- (208) 241-2292
- NPI assigned
- Jun 12, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 103751433502 | UT | |
| Clinical Social Worker | 1041C0700X | LCSW-39749 | ID | Primary |
Addresses
Primary practice location
220 Warren Ave
Pocatello, ID 83201-4639
Mailing address
220 Warren Ave
Pocatello, ID 83201-4639
Phone (208) 241-2292
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103751433502 | UT | MD | Social Worker |
| LCSW-39749 | ID | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757808000000",
"number": "1376102350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 WARREN AVE",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832014639",
"telephone_number": "208-241-2292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 WARREN AVE",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832014639",
"telephone_number": "208-241-2292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEINER",
"first_name": "STEPHEN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-12",
"last_updated": "2025-09-14",
"certification_date": "2025-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "UT",
"license": "103751433502",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW-39749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.