Active NPI
Dannette Sandora Vest, MSW, LCSW
- Clinical Social Worker
- Idaho Falls, ID
National Provider Identifier
1609289123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- Q1-0001447
- Practice address
- 2200 Riverstone Way
Idaho Falls, ID 83404-4905 - Phone
- (984) 208-7360
- NPI assigned
- Jun 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-23654 | AZ | |
| Clinical Social Worker | 1041C0700X | 12843-C | NV | |
| Clinical Social Worker | 1041C0700X | C017047 | NC | |
| Clinical Social Worker | 1041C0700X | Q1-0001447 | DE | Primary |
Addresses
Primary practice location
2200 Riverstone Way
Idaho Falls, ID 83404-4905
Mailing address
2200 Riverstone Way
Idaho Falls, ID 83404-4905
Phone (984) 208-7360
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 |
|---|---|---|---|
| LCSW-23654 | AZ | MD | Clinical Social Worker |
| Q1-0001447 | DE | MD | Clinical Social Worker |
| C017047 | NC | MD | Clinical Social Worker |
| 12843-C | NV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- dannettevest@tdh.allscriptsdirect.net
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": "1401753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1609289123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 RIVERSTONE WAY",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834044905",
"telephone_number": "984-208-7360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 RIVERSTONE WAY",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834044905",
"telephone_number": "984-208-7360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEST",
"first_name": "DANNETTE",
"middle_name": "SANDORA",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-03",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-23654",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "12843-C",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C017047",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DE",
"license": "Q1-0001447",
"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 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.