Shawn Robert Israelsen, LCSW
NPI 1629679048ActiveIndividual· Counselor, Professional· Idaho Falls, ID
Counselor, Professional (LCSW) with Tueller Counseling Inc, practicing in Idaho Falls, Idaho. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1629679048 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Nov 3, 2020 |
| Last updated in NPPES | Oct 18, 2023 |
| Certified by provider | Oct 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | LCSW-44276 | ID |
| Social Worker | 104100000X | LMSW-18733 | AZ |
| Social Worker | 104100000X | LMSW-40331 | ID |
| Social Worker, Clinical | 1041C0700X | 8722060-3502 | UT |
| Social Worker, Clinical | 1041C0700X | 8722060-3502CSW | UT |
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 | 2017 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Tueller Counseling IncRigby, ID · 20 clinicians
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