Individual provider Active NPI

Roxana Lemus, LCSW

  • Clinical Social Worker
  • Idaho Falls, ID
National Provider Identifier
1851767925
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8851757 Issued in ID
Practice address
1908 Jennie Lee Dr
Idaho Falls, ID 83404-6159
Phone
(208) 932-7048
Fax
(208) 970-6188
NPI assigned
Aug 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW127952 CA
Clinical Social Worker 1041C0700X 8851757 ID Primary

Addresses

Primary practice location

1908 Jennie Lee Dr
Idaho Falls, ID 83404-6159

Mailing address

1908 Jennie Lee Dr
Idaho Falls, ID 83404-6159
Phone (208) 932-7048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250220003307 CA Practitioner - Clinical Social Worker 1951821974 Reassigns benefits to 1 organization
I20251112003373 ID Practitioner - Clinical Social Worker 1951821974 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tuolumne Me-Wuk Indian Health Center IncGroup PAC ID 6507816386, 24 clinicians
Pearl Health ClinicGroup PAC ID 0840356077, 38 clinicians

Practice addresses (Care Compare)

18670 Carter St
Tuolumne, CA 95379-9637
Phone (209) 928-5400

2705 E 17TH St
Ammon, ID 83406-6601
Phone 2083467500506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW127952CAMDClinical Social Worker
8851757IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tuolumne Mewuk Indian Health Center, Inc CurrentSince Feb 2, 2025 Accepting new patients
Pearl Health Clinic CurrentSince Dec 1, 2025 Accepting new patients
Tuolumne Me-Wuk Indian Health Center, Inc. CurrentSince Feb 2, 2025 Accepting new patients
Tueller Counseling Inc CurrentSince Oct 8, 2025 Accepting new patients
County of Tuolumne Community/Behavioral Health PastSince Aug 11, 2019 Accepting new patients
County of Tuolumne Community/Behavioral Health PastSince May 7, 2012 Accepting new patients

Locations

18670 Carter St
Tuolumne, CA 95379
Phone (209) 928-4279

18880 Cherry Valley Blvd
Tuolumne, CA 95379
Phone (209) 928-5400

2705 E 17th St
Ammon, ID 83406

2275 W Broadway St
Ste G
Idaho Falls, ID 83402
Phone (208) 524-7400

2265 W Broadway St
Idaho Falls, ID 83402
Phone (208) 524-7400

Organizations & group practices 6

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": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1851767925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 JENNIE LEE DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046159",
            "telephone_number": "208-932-7048",
            "fax_number": "208-970-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 JENNIE LEE DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046159",
            "telephone_number": "208-932-7048",
            "fax_number": "208-970-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMUS",
        "first_name": "ROXANA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW127952",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "8851757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.