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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LISA ANNE PERUCCA LMSW
NPI 1275109167
Social Worker in Idaho Falls, ID

Active since June 01, 2021
2265 W BROADWAY ST, IDAHO FALLS, ID 83402(208) 524-7400(208) 524-8004 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 10, 2026, Jun 1, 2021 (2 updates tracked since 2021).

About Lisa Anne Perucca Lmsw NPPES

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

LISA ANNE PERUCCA LMSW (NPI 1275109167) is an individual social worker in Idaho Falls, Idaho, licensed in Idaho (LMSW-40790) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1275109167
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameLISA ANNE PERUCCACredential: LMSW
Location Address2265 W BROADWAY STIdaho Falls, ID 83402-2996
Mailing Address2265 W Broadway StIdaho Falls, ID 83402-2996 · (208) 524-7400 · Fax (208) 524-8004
Phone(208) 524-7400
Fax(208) 524-8004
Sole ProprietorNo
Enumeration DateJune 1, 2021
Last NPPES UpdateSeptember 10, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2026
✔ NPI 1275109167 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-40790
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.
2265 W BROADWAY ST, Idaho Falls, ID 83402
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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.

LIZA PAIGE HANSEN LCSW
Social Worker
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
JUSTINE LYNNETTE KOHN
Community Health Worker
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
IZABELLA KOON
Community Health Worker
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
ERICA ALLRED
Community Health Worker
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
KAYLNN JOHANSEN
Community Health Worker
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
ALEXANDER SOREN TAVARES
Community Health Worker
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
SHELBY JOHNSON
Community Health Worker
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
DIANNE NICHOLS LCSW
Social Worker (Clinical)
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400

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 Perucca's NPI number?

The NPI number for Lisa Perucca is 1275109167. It was assigned to this individual provider in the NPPES registry on June 1, 2021.

Where is Lisa Perucca located?

Lisa Perucca practices at 2265 W Broadway St, Idaho Falls, ID 83402. The listed phone number is (208) 524-7400.

What is Lisa Perucca's specialty?

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

What insurance does Lisa Perucca accept?

Health plans from Providence Health Plan list Lisa Perucca as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Perucca was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.