CHARLOTTE ANN FATAFEHI LCSW
NPI 1558081190
Social Worker - Clinical in Saint Anthony, ID

Active since September 01, 2022PECOS EnrolledAccepts Medicare Assignment
335 E MAIN ST STE 3, SAINT ANTHONY, ID 83445(208) 356-4900(208) 624-4030 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2025, Jun 30, 2025, May 19, 2025 and 1 more (4 updates tracked since 2022).

About Charlotte Ann Fatafehi Lcsw NPPES

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

CHARLOTTE ANN FATAFEHI LCSW (NPI 1558081190) is an individual clinical provider in Saint Anthony, Idaho, licensed in Idaho (8861731) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rexburg, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1558081190
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCHARLOTTE ANN FATAFEHICredential: LCSW
Location Address335 E MAIN ST STE 3Saint Anthony, ID 83445-1546
Mailing AddressPo Box 18Saint Anthony, ID 83445-0018 · (208) 356-4900 · Fax (208) 624-4112
Fax(208) 624-4030
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 1, 2022
Last NPPES UpdateAugust 14, 20254 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
NPI 1558081190 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 · 8861731
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.
335 E MAIN ST STE 3, Saint Anthony, ID 83445

Secondary Practice Location 1

Location 172 S 1st E Ste 103Rexburg, ID 83440-1902 · Phone (208) 356-4900 · Fax (208) 372-1023

Accepted Insurance

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

Charlotte Ann Fatafehi 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 ID1456852615
PECOS Enrollment IDI20250828004317
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 83445 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 15

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

Social Worker
335 E MAIN ST STE 3
SAINT ANTHONY, ID 83445
Social Worker (Clinical)
335 E MAIN ST STE 3
SAINT ANTHONY, ID 83445
Social Worker
335 E MAIN ST STE 3
SAINT ANTHONY, ID 83445
Social Worker (Clinical)
335 E MAIN ST STE 3
SAINT ANTHONY, ID 83445
Clinic/Center (Federally Qualified Health Center (FQHC))
335 E MAIN ST STE 3
SAINT ANTHONY, ID 83445
Physician Assistant
335 E MAIN ST STE 3
SAINT ANTHONY, ID 83445
Social Worker
335 E MAIN ST STE 3
SAINT ANTHONY, ID 83445
Social Worker (Clinical)
335 E MAIN ST STE 3
SAINT ANTHONY, ID 83445

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 Charlotte Fatafehi's NPI number?

The NPI number for Charlotte Fatafehi is 1558081190. It was assigned to this individual provider in the NPPES registry on September 1, 2022.

Where is Charlotte Fatafehi located?

Charlotte Fatafehi practices at 335 E Main St Ste 3, Saint Anthony, ID 83445. The listed phone number is (208) 356-4900.

What is Charlotte Fatafehi's specialty?

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

Is Charlotte Fatafehi enrolled in Medicare?

Yes. Charlotte Fatafehi 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.

What insurance does Charlotte Fatafehi accept?

Health plans from Providence Health Plan and University of Utah Health Plans list Charlotte Fatafehi 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 Charlotte Fatafehi was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.