Individual provider Active NPI

Sheila Marie Dabell, LCSW

  • Clinical Social Worker
  • Idaho Falls, ID
National Provider Identifier
1811174063
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW Issued in ID
Practice address
1075 S Utah Ave
Suite 352
Idaho Falls, ID 83402-3327
Phone
(208) 552-0490
NPI assigned
Jan 29, 2008
Last updated
Apr 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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 ID Primary

Addresses

Primary practice location

1075 S Utah Ave
Suite 352
Idaho Falls, ID 83402-3327

Mailing address

1075 S Utah Ave
Suite 352
Idaho Falls, ID 83402-3327
Phone (208) 552-0490

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, Inc PastSince Jul 14, 2014 Accepting new patients
Psychological Service Associates Past Accepting new patients

Organizations & group practices 3

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": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461283200000",
    "number": "1811174063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 S UTAH AVE",
            "address_2": "SUITE 352",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023327",
            "telephone_number": "208-552-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 S UTAH AVE",
            "address_2": "SUITE 352",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023327",
            "telephone_number": "208-552-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABELL",
        "first_name": "SHEILA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW",
            "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 Apr 22, 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.