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LISA J RUSSOM LSW
NPI 1003106691
Social Worker in Idaho Falls, ID

Active since April 15, 2011
1740 E 17TH ST, IDAHO FALLS, ID 83404(208) 313-8355 Get Directions Write a Review

NPPES record last updated: April 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa J Russom Lsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA J RUSSOM LSW (NPI 1003106691) is an individual social worker in Idaho Falls, Idaho, licensed in Idaho (LSW-2573) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1003106691
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameLISA J RUSSOMCredential: LSW
Location Address1740 E 17TH STIdaho Falls, ID 83404-6375
Mailing Address1740 E 17th StIdaho Falls, ID 83404-6375 · (208) 313-8355
Phone(208) 313-8355
Sole ProprietorNo
Enumeration DateApril 15, 2011
✔ NPI 1003106691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in ID · LSW-2573
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1740 E 17TH ST, Idaho Falls, ID 83404
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT HOMAN VOSE B.A.
Social Worker
1740 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 524-1278
BRION L BOLDT BA
Social Worker
1740 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 346-8866
MISS ITZEL VALENCIA BS
Social Worker
1740 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 346-7500
CHRISTINA LEMEK BS
Social Worker
1740 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 709-0362
KARLY DAWN BINGHAM B.S.
Social Worker
1740 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 346-7500
DR. ALICE MARIE GRAY PSYD
Counselor (Mental Health)
1740 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (310) 365-3762
JENNIFER A HUNTSMAN BA
Social Worker
1740 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 346-7500
MS. MYRNA LEE P.A.-C
Physician Assistant (Medical)
1740 E 17TH ST, SUITE A
IDAHO FALLS, ID 83404
Bonneville County (208) 346-7500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Russom's NPI number?

The NPI number for Lisa Russom is 1003106691. It was assigned to this individual provider in the NPPES registry on April 15, 2011.

Where is Lisa Russom located?

Lisa Russom practices at 1740 E 17th St, Idaho Falls, ID 83404. The listed phone number is (208) 313-8355.

What is Lisa Russom's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Lisa Russom was last updated on April 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.