Active NPI
Sandi De Eatinger, LCSW
- Clinical Social Worker
- Idaho Falls, ID
National Provider Identifier
1831270594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW27315
- Practice address
- 3422 S 15TH E
Idaho Falls, ID 83404-8262 - Phone
- (208) 552-1222
- Fax
- (208) 552-3377
- NPI assigned
- Oct 18, 2006
- Last updated
- Aug 4, 2026
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW27315 | ID | Primary |
Addresses
Primary practice location
3422 S 15TH E
Idaho Falls, ID 83404-8262
Mailing address
1565 E Lincoln Rd
Idaho Falls, ID 83401-2129
Phone (208) 524-8996
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82052319683404B005 | Other | ID | TRICARE BILLING NUMBER |
| 805384500 | Medicaid | ID | |
| L5931 | Other | ID | IDAHO BLUE CROSS PIN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-1502 | ID | MD | Social Worker |
| LCSW27315 | ID | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1831270594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1565 E LINCOLN RD",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834012129",
"telephone_number": "208-524-8996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3422 S 15TH E",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834048262",
"telephone_number": "208-552-1222",
"fax_number": "208-552-3377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EATINGER",
"first_name": "SANDI",
"middle_name": "DE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW27315",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE BILLING NUMBER",
"identifier": "82052319683404B005",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805384500",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDAHO BLUE CROSS PIN",
"identifier": "L5931",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Idaho Falls, ID
- Eastern Idaho Regional Medical Center Inpatient Services, LLC
- Eastern Idaho RMC Inpatient Services
- Eastern Idaho Spine Center
- Eastgate Drug Inc (Westgate Drug Store)
- Eastunder Therapy LLC (Meraki Healthcare)
- Colby C Ebanks, PT, DPT
- Ecetera Therapy Clinic
- Amanda Eck, MOTR/L
- Edema Therapy Solutions, LLC
- Eden Home Health of Idaho Falls, LLC (Eden Home Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.