Sheryce Marie Allendorf, LCSW
Individual provider Active NPI Clinical Social Worker · Twin Falls, ID
NPI 1457775074 · NPPES record last updated Apr 22, 2024
Key facts
- NPI
- 1457775074
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW-39974 (ID)
- Practice address
- 228 Shoup Ave W
Twin Falls, ID 83301-5022 - Phone
- (208) 734-6760
- Fax
- (208) 814-7940
- NPI assigned
- Feb 18, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW 73833 | CA | MD | Mental Health Counselor |
| LCSW-39974 | ID | MD | Clinical Social Worker |
| 73833 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Magic Valley Regional Medical Center LTD | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCSW 73833 | CA | |
| Clinical Social Worker | 1041C0700X | 73833 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW-39974 | ID | Yes |
Addresses
Primary practice location
228 Shoup Ave W
Twin Falls, ID 83301-5022
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-8752
Other practice location 1
670 Placerville Dr
Suite 2
Placerville, CA 95667-4200
Phone (530) 644-2412 ext. 233
Other providers in Twin Falls, ID
- Jaylene Allen
- Julie D. Allen
- Kimberly Rae Allen
- Laura Leigh Allen
- Nathan Kent Allen
- Alliance Family Services, Inc.
- Alliance Home Health of Idaho, LLC
- Allied Portable X-Ray Inc
- Allied Portable Xray Inc
- Debra Allred
All providers in Twin Falls, ID · Clinical Social Worker in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.