SHELLY D SANDERS LCSW
NPI 1396274056
Social Worker - Clinical in Coeur D Alene, ID

Active since June 07, 2017PECOS EnrolledAccepts Medicare Assignment
1620 NORTHWEST BLVD STE 101, COEUR D ALENE, ID 83814(208) 512-5085(800) 865-1927 Get Directions Write a Review

NPPES record last updated: June 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2020, Jun 16, 2018, Jun 7, 2017 (3 updates tracked since 2017).

About Shelly D Sanders Lcsw NPPES

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

SHELLY D SANDERS LCSW (NPI 1396274056) is an individual clinical provider in Coeur D Alene, Idaho, licensed in Idaho (39692) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1396274056
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHELLY D SANDERSCredential: LCSW
Location Address1620 NORTHWEST BLVD STE 101Coeur D Alene, ID 83814-2488
Mailing Address1620 Northwest Blvd Ste 101Coeur D Alene, ID 83814-2488 · (208) 512-5085 · Fax (800) 865-1927
Fax(800) 865-1927
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 7, 2017
Last NPPES UpdateJune 9, 20203 updates tracked since enumeration
NPPES CertifiedJune 9, 2020
NPI 1396274056 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 · 39692
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.
1620 NORTHWEST BLVD STE 101, Coeur D Alene, ID 83814

Other Identifiers 2

Other39692ID · Lcsw License
Other36775ID · License

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

Shelly D Sanders Lcsw 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 ID1951723170
PECOS Enrollment IDI20250226001041
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83814 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.44 – $160.17
Typical copayment $0.00 (range $13.11 – $40.04)
Most-billed visit code NA
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

Social Worker
1620 NORTHWEST BLVD STE 101
COEUR D ALENE, ID 83814
Social Worker
1620 NORTHWEST BLVD STE 101
COEUR D ALENE, ID 83814
Social Worker (Clinical)
1620 NORTHWEST BLVD STE 101
COEUR D ALENE, ID 83814
Case Management
1620 NORTHWEST BLVD STE 101
COEUR D ALENE, ID 83814
Social Worker
1620 NORTHWEST BLVD STE 101
COEUR D ALENE, ID 83814
Peer Specialist
1620 NORTHWEST BLVD STE 101
COEUR D ALENE, ID 83814
Social Worker (Clinical)
1620 NORTHWEST BLVD STE 101
COEUR D ALENE, ID 83814
Community/Behavioral Health
1620 NORTHWEST BLVD STE 101
COEUR D ALENE, ID 83814

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 Shelly Sanders's NPI number?

The NPI number for Shelly Sanders is 1396274056. It was assigned to this individual provider in the NPPES registry on June 7, 2017.

Where is Shelly Sanders located?

Shelly Sanders practices at 1620 Northwest Blvd Ste 101, Coeur D Alene, ID 83814. The listed phone number is (208) 512-5085.

What is Shelly Sanders's specialty?

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

Is Shelly Sanders enrolled in Medicare?

Yes. Shelly Sanders 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 Shelly Sanders was last updated on June 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.