Evan Tullis Anderson, LCSW
NPI 1780105767ActiveIndividual· Social Worker, Clinical· Boise, ID
Social Worker, Clinical (LCSW) in Boise, Idaho, licensed in ID, with an NPI issued in June 2017. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1780105767 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Jun 29, 2017 |
| Last updated in NPPES | Jun 11, 2026 |
| Certified by provider | Jun 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | LCSW-42535 | ID |
| Social Worker, Clinical | 1041C0700X | 34856 | 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) |
|---|
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