Stephanie Hammond Perez, LSW28629
Social Worker in Idaho Falls, ID. Individual provider (NPI-1).
NPI number1124285804
StatusActive
Last updated in NPPESMay 20, 2008
Details
- NPI
- 1124285804
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Hammond Perez
- Credential
- LSW28629
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 20, 2008
- Last updated
- May 20, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | LSW28629 | ID | Yes |
Practice location
140 N Corner StIdaho Falls, ID 83402-4032
Phone 208-523-0785 · Fax 208-523-0785
Mailing address
1740 E 17th St Ste BIdaho Falls, ID 83404-6375
Phone 208-529-8832 · Fax 208-522-8725
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 191 Social Worker providers in Idaho Falls · All 3,646 providers in Idaho Falls
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