Johnathan Koelsch, LMSW
NPI 1326409913ActiveIndividual· Social Worker, Clinical· Ammon, ID
Social Worker, Clinical (LMSW) with 4 Pillars of Success LLC, practicing in Ammon, Idaho. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1326409913 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LMSW |
| Sole proprietor | Yes |
| NPI issued | Mar 10, 2016 |
| Last updated in NPPES | Aug 9, 2023 |
| Certified by provider | Aug 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | LCSW-38371 | ID |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | LMSW-34382 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (ID) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- 4 Pillars of Success LLCAmmon, ID · 18 clinicians
Other clinical social workers in Ammon
- 1336838572
- 1376218545
- 1386414514
- 1770387847
- 1790645638
- 1053683904
- 1134459548
- 1194156216
- 1306344346
- 1477018323
- 1497164347
- 1649336488
All 32 clinical social workers in Ammon · All clinical social workers in Idaho