NPI 1457775074 · live from the CMS NPI Registry
Sheryce Marie Allendorf, LCSW
Social Worker, Clinical in Twin Falls, ID. National Provider Identifier 1457775074, active.
NPI record
| NPI | 1457775074 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 228 Shoup Ave W, Twin Falls, ID 83301 |
| Practice phone | 208-734-6760 |
| Mailing address | 190 E Bannock St, Boise, ID 83712 |
| Enumerated | February 18, 2014 |
| Last updated | April 22, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | LCSW 73833 (CA) |
| Social Worker, Clinical | 1041C0700X | 73833 (CA) |
| Social Worker, Clinical primary | 1041C0700X | LCSW-39974 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.