Individual provider Active NPI

David Newell Chiddix, LCSW

  • Clinical Social Worker
  • Idaho Falls, ID
National Provider Identifier
1942635529
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-40626 Issued in ID
Practice address
1740 E 17TH St
Idaho Falls, ID 83404-6375
Phone
(208) 346-7500
Fax
(208) 346-7501
NPI assigned
Sep 13, 2013
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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-40626 ID Primary

Addresses

Primary practice location

1740 E 17TH St
Idaho Falls, ID 83404-6375

Mailing address

1302 E 17TH St
Idaho Falls, ID 83404-6270
Phone (208) 534-1116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, ME, UT, WY, WV5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20231020002391 ID Practitioner - Clinical Social Worker 6103183736 Reassigns benefits to 2 organizations
I20250728001565 ME Practitioner - Clinical Social Worker 6103183736 Reassigns benefits to 1 organization
I20250806002416 UT Practitioner - Clinical Social Worker 6103183736 Reassigns benefits to 1 organization
I20260102000842 WY Practitioner - Clinical Social Worker 6103183736 Reassigns benefits to 1 organization
I20260122001710 WV Practitioner - Clinical Social Worker 6103183736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pettingill Counseling Services Professional CorporationGroup PAC ID 9133598501, 2 clinicians
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

1302 E 17TH St
Idaho Falls, ID 83404-6270
Phone (208) 542-9919

25924 Lon Davis Rd
Parma, ID 83660-7292
Phone (814) 360-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Talkspace Provider Network PA CurrentSince Sep 24, 2024 Accepting new patients
Pettingill Counseling Services, Professional Corporation Clinical CurrentSince Oct 5, 2023 Accepting new patients
Manely Hope and Healing, PLLC PastSince May 25, 2025 Accepting new patients

Locations

1302 E 17th St
Idaho Falls, ID 83404
Phone (208) 542-9919

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

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": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1942635529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046270",
            "telephone_number": "208-534-1116",
            "fax_number": "208-542-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046375",
            "telephone_number": "208-346-7500",
            "fax_number": "208-346-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIDDIX",
        "first_name": "DAVID",
        "middle_name": "NEWELL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-13",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-40626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.