SHASTA LEE HARDEE LMSW-37764
NPI 1194992545
Social Worker in Idaho Falls, ID

Q: What is Shasta Hardee's NPI number?

The NPI number for Shasta Hardee is 1194992545. It was assigned to this individual provider in the NPPES registry on May 14, 2008.

Q: What is Shasta Hardee's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shasta Hardee was last updated on June 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since May 14, 2008PECOS EnrolledAccepts Medicare Assignment

2235 E 25TH ST, IDAHO FALLS, ID 83404(208) 643-2832(085) 382-2332 Get Directions Write a Review

NPPES record last updated: June 7, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shasta Lee Hardee Lmsw-37764 NPPES

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

SHASTA LEE HARDEE LMSW-37764 (NPI 1194992545) is an individual social worker in Idaho Falls, Idaho, licensed in Idaho (LMSW-37764) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1194992545

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameSHASTA LEE HARDEECredential: LMSW-37764

Location Address2235 E 25TH STIdaho Falls, ID 83404

Mailing Address1080 Bower DrIdaho Falls, ID 83404-5151 · (208) 680-6135

Phone(208) 643-2832

Fax(085) 382-2332

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMay 14, 2008

Last NPPES UpdateJune 7, 2018

✔ NPI 1194992545 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 · LMSW-37764

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.

2235 E 25TH ST, Idaho Falls, ID 83404

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Other Identifiers 2

Medicaid807375600ID

Medicaid002648300ID

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shasta Lee Hardee Lmsw-37764 is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769829431

PECOS Enrollment IDI20240318003052

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 15

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

SUSAN M HOLMES LCPC

Counselor (Mental Health)

2235 E 25TH ST, SUITE 290
IDAHO FALLS, ID 83404

Bonneville County (208) 612-2272

GLENDA K THOMSON LCSW

Social Worker (Clinical)

2235 E 25TH ST, SUITE 290
IDAHO FALLS, ID 83404

Bonneville County (208) 552-0490

CORY BLAD LMSW

Social Worker (Clinical)

2235 E 25TH ST, SUITE 190
IDAHO FALLS, ID 83404

Bonneville County (208) 991-4296

JAIDEN RANDY HISKEY PA-C

Physician Assistant

2235 E 25TH ST
IDAHO FALLS, ID 83404

Bonneville County (208) 521-7593

LAURA M BINGHAM LMSW

Social Worker

2235 E 25TH ST, SUITE 220
IDAHO FALLS, ID 83404

Bonneville County (208) 522-9812

AMANDA NELSON LMSW

Social Worker

2235 E 25TH ST, SUITE 160
IDAHO FALLS, ID 83404

Bonneville County (208) 522-9812

COUNSELING CENTER FOR CHILDREN AND FAMILIES

Social Worker (Clinical)

2235 E 25TH ST, SUITE 290
IDAHO FALLS, ID 83404

Bonneville County (208) 612-2272

MRS. RENAE MICHELLE SUAREZ LMSW

Social Worker

2235 E 25TH ST, SUITE 185
IDAHO FALLS, ID 83404

Bonneville County (208) 390-1147

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 Shasta Hardee's NPI number?

The NPI number for Shasta Hardee is 1194992545. It was assigned to this individual provider in the NPPES registry on May 14, 2008.

Where is Shasta Hardee located?

Shasta Hardee practices at 2235 E 25th St, Idaho Falls, ID 83404. The listed phone number is (208) 643-2832.

What is Shasta Hardee's specialty?

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

Is Shasta Hardee enrolled in Medicare?

Yes. Shasta Hardee is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shasta Hardee was last updated on June 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.