Charlene Hertzberg, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8861848 Issued in ID

Practice address

1820 E 7TH
Ste 330
Idaho Falls, ID 83404-6400

Phone

(208) 497-0685

Fax

(208) 497-0506

NPI assigned

Jan 27, 2022

Last updated

Dec 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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 1

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

4 Pillars of Success LLCGroup PAC ID 4688027188, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• 4 Pillars of Success LLC

  dba Rehabilitative Health Services

  • Multi-Specialty Clinic/Center
  • Ammon, ID
  • NPI 1619134277

  Clinical

  Medicare reassignment Care Compare group NPD
• Aspen Mental Health Services, Inc.

  dba Aspen Developmental Services

  • Counseling Psychologist
  • Idaho Falls, ID
  • NPI 1134978422
  Medicare reassignment NPD
• 4 Pillars of Success LLC

  dba Rehabilitative Health Services

  • Clinic/Center
  • Ammon, ID
  • NPI 1992487615

  Social Worker

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1952054249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 DEER VALLEY DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834016811",
            "telephone_number": "208-757-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 E 7TH",
            "address_2": "STE 330",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046400",
            "telephone_number": "208-497-0685",
            "fax_number": "208-497-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTZBERG",
        "first_name": "CHARLENE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-27",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "8861848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Hernandez
• Mario Avila Hernandez
• Nancy Hernandez, DPT
• Sarah Hernandez, LCSW-36400
• Sheyenne Dawn Hernandez
• Kieryae Hess, SLP
• Victoria Hess, PA-C
• Philip C Hesse, PA
• Sara Jean Hiatt, LCSW
• Celeste Hibbert

• Clinical Social Worker in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.