Cloverleaf Therapy, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LCSW 35130 Issued in ID

Legal business name

CLOVERLEAF THERAPY, LLC

Practice address

3000 Pancheri Dr Unit 3
Idaho Falls, ID 83402-5095

Phone

(509) 823-5629

NPI assigned

Apr 6, 2016

Organization subpart

No

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

Authorized official

Name

Heather Steimlosk, LCSWNPI 1538497615

Title

Owner Founder

Phone

(208) 523-5602

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cloverleaf Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Mhairi Steimlosk, MOTR/L, LCSW

  • Pediatric Occupational Therapist
  • Pocatello, ID
  • NPI 1538497615
  NPD (past) Authorized official

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1376907485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 PANCHERI DR UNIT 3",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834025095",
            "telephone_number": "509-823-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 PANCHERI DR UNIT 3",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834025095",
            "telephone_number": "509-823-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVERLEAF THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "STEIMLOSK",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER FOUNDER",
        "authorized_official_telephone_number": "208-523-5602",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "LCSW 35130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1538497615",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cloverleaf Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tina Renee Cleverley, LMSW
• Neal J Clinger, M.D.
• Clinical Research Prime
• Cloudnine Home Care LLC
• Clover Caregivers LLC
• Club Inc
• Club, Inc.
• Clubhouse Pediatric Dentistry of Idaho Falls
• Grace Marie Cobiella, M.D.
• Jeffrey Bennion Cockayne, LCPC

• Community/Behavioral Health Agency in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.