Active NPI
Shelby Dawn Beckstead, LMSW
- Social Worker
- Idaho Falls, ID
National Provider Identifier
1538044953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1071275
- Practice address
- 211 S Woodruff Ave Ste A3
Idaho Falls, ID 83401-4865 - Phone
- (208) 524-4818
- Fax
- (208) 522-6630
- NPI assigned
- Aug 6, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 1071275 | ID | Primary |
Addresses
Primary practice location
211 S Woodruff Ave Ste A3
Idaho Falls, ID 83401-4865
Mailing address
4443 E Arcadia Ave
Idaho Falls, ID 83401-1422
Phone (208) 716-3996
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 |
|---|---|---|---|
| 1071275 | ID | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willow Sage Services LLC | Social Worker | Current | Accepting new patients |
Locations
211 S Woodruff Ave
Ste A3
Idaho Falls, ID 83401
Phone (208) 524-4818
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1538044953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4443 E ARCADIA AVE",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834011422",
"telephone_number": "208-716-3996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 S WOODRUFF AVE STE A3",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834014865",
"telephone_number": "208-524-4818",
"fax_number": "208-522-6630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKSTEAD",
"first_name": "SHELBY",
"middle_name": "DAWN",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-06",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "1071275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.