MS. TERESA I SHACKELFORD LCSW
NPI 1326399387
Social Worker - Clinical in Boise, ID

Q: What is Teresa Shackelford's NPI number?

The NPI number for Teresa Shackelford is 1326399387. It was assigned to this individual provider in the NPPES registry on September 30, 2012.

Q: What is Teresa Shackelford's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since September 30, 2012

7275 W POTOMAC DR, STE. A, BOISE, ID 83704(208) 284-0377 Get Directions Write a Review

NPPES record last updated: September 30, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Teresa I Shackelford Lcsw NPPES

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

MS. TERESA I SHACKELFORD LCSW (NPI 1326399387) is an individual clinical provider in Boise, Idaho, licensed in Idaho (LCSW-31375) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1326399387

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. TERESA I SHACKELFORDCredential: LCSW

Location Address7275 W POTOMAC DR, STE. ABoise, ID 83704-9150

Mailing Address6263 W Cohiba LnBoise, ID 83703-2848 · (208) 284-0377

Phone(208) 284-0377

Sole ProprietorNo

Enumeration DateSeptember 30, 2012

✔ NPI 1326399387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in ID · LCSW-31375

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

7275 W POTOMAC DR, Boise, ID 83704

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Other Providers at the Same Location NPPES

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

MR. MARTIN MICHAEL CUTLER PHD, LPC, NCC

Counselor (Professional)

7275 W POTOMAC DR, SUITE B
BOISE, ID 83704

Ada County (208) 994-1223

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 Teresa Shackelford's NPI number?

The NPI number for Teresa Shackelford is 1326399387. It was assigned to this individual provider in the NPPES registry on September 30, 2012.

Where is Teresa Shackelford located?

Teresa Shackelford practices at 7275 W Potomac Dr Ste. A, Boise, ID 83704. The listed phone number is (208) 284-0377.

What is Teresa Shackelford's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Teresa Shackelford was last updated on September 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.