Vet Rudean Woolf Jr., LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW-44171 Issued in ID

Practice address

2275 W Broadway St Ste G
Idaho Falls, ID 83402-2902

Phone

(208) 524-7400

Fax

(208) 524-8004

NPI assigned

Oct 3, 2023

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tueller Counseling Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Idaho Falls, ID
  • NPI 1477766905
  NPD (past)
• Tueller Counseling Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rigby, ID
  • NPI 1699566356
  NPD (past)

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1992585269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2657 BALBOA DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047408",
            "telephone_number": "208-497-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 W BROADWAY ST STE G",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834022902",
            "telephone_number": "208-524-7400",
            "fax_number": "208-524-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLF",
        "first_name": "VET",
        "middle_name": "RUDEAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-44171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woodhouse Counseling LLC
• Royce Woodhouse
• Tessa Marjean Woodin
• Lynn H Woodland, M.S. P.T.
• Cherity Woolf, LCSW
• Wound & Skin Care of Idaho LLC
• Alan B Wray, M.D.
• Grover Louis Wray, LMSW
• Jerith Tim Wren, DO
• Richard Thomas Wride, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.