Individual provider Active NPI

Lisa D. Calderwood, LCSW

  • Clinical Social Worker
  • Idaho Falls, ID
National Provider Identifier
1467574442
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-27801 Issued in ID
Practice address
650 10TH St
Idaho Falls, ID 83404-5067
Phone
(208) 552-9174
Fax
(208) 552-9175
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-27801 ID Primary

Addresses

Primary practice location

650 10TH St
Idaho Falls, ID 83404-5067

Mailing address

650 10TH St
Idaho Falls, ID 83404-5067
Phone (208) 552-9174

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090820000204 ID Practitioner - Clinical Social Worker 8325192644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Idaho Falls, ID 83404
Phone (208) 552-9174

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-27801IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Dawn Counseling, LLC Mental Health CurrentSince Sep 7, 2007 Accepting new patients

Locations

703 John Adams Pkwy
Idaho Falls, ID 83401
Phone (208) 552-9174

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1467574442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 10TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834045067",
            "telephone_number": "208-552-9174",
            "fax_number": "208-552-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 10TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834045067",
            "telephone_number": "208-552-9174",
            "fax_number": "208-552-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERWOOD",
        "first_name": "LISA",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-27801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.