STACI SUTHERLAND LMSW
NPI 1477219061
Social Worker - Clinical in Idaho Falls, ID

Q: What is Staci Sutherland's NPI number?

The NPI number for Staci Sutherland is 1477219061. It was assigned to this individual provider in the NPPES registry on November 9, 2021. The provider is also known as Staci Claver.

Q: What is Staci Sutherland's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Staci Sutherland was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 November 09, 2021PECOS Enrolled

1262 E 17TH ST, IDAHO FALLS, ID 83404(208) 346-0688(208) 620-3027 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Apr 1, 2026, Apr 22, 2022, Nov 9, 2021 (3 updates tracked since 2021).

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About Staci Sutherland Lmsw NPPES

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

STACI SUTHERLAND LMSW (NPI 1477219061) is an individual clinical provider in Idaho Falls, Idaho, licensed in Idaho (39337) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477219061

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSTACI SUTHERLANDCredential: LMSW

Location Address1262 E 17TH STIdaho Falls, ID 83404-6126

Mailing Address1262 E 17th StIdaho Falls, ID 83404-6126 · (208) 346-0688 · Fax (208) 620-3027

Phone(208) 346-0688

Fax(208) 620-3027

Sole ProprietorNo

Enumeration DateNovember 9, 2021

Last NPPES UpdateApril 1, 20263 updates tracked since enumeration

NPPES CertifiedApril 1, 2026

✔ NPI 1477219061 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 · 39337

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.

1262 E 17TH ST, Idaho Falls, ID 83404

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Other Names 1

Former Name (1)Staci Claver

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Staci Sutherland Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 83404 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 10

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

MCKENZIE LEIGH DUNCAN LPC

Counselor (Professional)