E. WADE SMITH (NPI# 1871929026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871929026 |
| Entity Type | Individual |
| Full Name | E. WADE SMITH |
| Credential | LCSW, LPC |
| Practice Address |
111 E 16th St Idaho Falls ID 83401 |
| Practice Telephone | 2085231130 |
| Practice Fax Number | 2085296501 |
| Mailing Telephone | 2085231130 |
| Mailing Fax Number | 2085296501 |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LPC - 161 | ID | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW - 348 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427286350 | E. Terrance Smith | Day Training, Developmentally Disabled Services | 62 Melbourne Street, Portland, ME 04101-2727 | 2009-06-30 |
| 1730157967 | E. Michael Smith | Psychiatry & Neurology | 920 Stanton L Young Blvd, Wp3240, Oklahoma City, OK 73104-5020 | 2006-03-14 |
| Street Address |
111 E 16TH ST |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588682652 | Lavonna D Patterson | Psychologist | 111 E 16th St, Idaho Falls, ID 83404-5919 | 2006-07-17 |
| 1558913954 | Elizabeth Ione Swedin | Counselor | 111 E 16th St, Idaho Falls, ID 83404-5919 | 2019-07-15 |
| 1396293064 | Amber Stempien | Counselor | 111 E 16th St, Idaho Falls, ID 83404-5919 | 2016-09-12 |
| 1790144657 | Brandon Derrick Borchman | Psychologist | 111 E 16th St, Idaho Falls, ID 83404-5919 | 2016-02-19 |
| 1205214475 | Innovative Health Care Concepts, Inc. | Community/Behavioral Health | 111 E 16th St, Idaho Falls, ID 83404-5919 | 2015-05-08 |
| 1568898013 | Jerrilynne Wood | Counselor | 111 E 16th St, Idaho Falls, ID 83404-5919 | 2013-09-16 |
| 1912332719 | Richard Thomas Baker | Psychologist | 111 E 16th St, Idaho Falls, ID 83404-5919 | 2013-09-11 |
| 1659649945 | Holly A Reed | Social Worker | 111 E 16th St, Idaho Falls, ID 83404-5919 | 2011-12-01 |
| 1346574464 | Tanner Mitchell Nielsen | Psychologist | 111 E 16th St, Idaho Falls, ID 83404-5919 | 2009-09-22 |
| 1659522365 | Darla Jane Faraday | Clinical Neuropsychologist | 111 E 16th St, Idaho Falls, ID 83404-5919 | 2008-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454796 | Natalie M Theriault | Acupuncturist | 864 S Holmes, Idaho Falls, ID 83401 | 2020-10-09 |
| 1366099293 | Idaho Recovery Center, LLC. | Counselor | 771 South Woodruff Avenue, Idaho Falls, ID 83401 | 2019-08-26 |
| 1851859110 | Rebecca Chidester | Counselor | 771 Parkwood St., Idaho Falls, ID 83401 | 2019-03-06 |
| 1467924985 | Benchmark Home Health | Registered Nurse | 2098 Gladys Dr., Idaho Falls, ID 83401 | 2018-12-21 |
| 1134625338 | Idaho Falls Hand Therapy Limited Partnership | Clinic/Center | 564 S Woodruff Avenue, Idaho Falls, ID 83401 | 2018-04-05 |
| 1992227367 | Brenda Emery | Rehabilitation Practitioner | 540 3rd Street, Idaho Falls, ID 83401 | 2017-07-07 |
| 1689068454 | Addiction Treatment Centers of Idaho | Community/Behavioral Health | 211 S. Woodruff Avenue, Idaho Falls, ID 83401 | 2015-03-19 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| 1487994430 | Sterling Physician Group Pllc | Clinic/Center | 740 S. Woodruff Ave, Idaho Falls, ID 83401 | 2013-02-27 |
| 1952638025 | Allstar Counseling Inc. | Case Management | 550 2nd Street, Suite 269, Idaho Falls, ID 83401 | 2009-11-11 |
| Find all providers in zip 83401 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164040820 | Sylinda Lee Mendenhall | Social Worker | 771 S Jafer Court, Idaho Falls, ID 83401-8404 | 2020-07-09 |
| 1750847786 | Brandi S Warnke | Social Worker | 254 E Street, Suite B, Idaho Falls, ID 83402 | 2019-02-14 |
| 1487136420 | Ryan Brent Beckstead | Social Worker | 490 Park Ave Ste 4, Idaho Falls, ID 83402-1230 | 2018-09-06 |
| 1780100719 | Hope Mental Health | Social Worker | 2235 12th St, Idaho Falls, ID 83404-5703 | 2017-08-22 |
| 1427571736 | Wixom Counseling Inc | Social Worker | 4344 E Nibley Cir, Idaho Falls, ID 83401-3783 | 2017-07-18 |
| 1306376843 | Rachel Clark | Social Worker | 2235 12th St Apt F146, Idaho Falls, ID 83404-5743 | 2017-06-18 |
| 1962881482 | Megan Howard | Social Worker | 1970 E 17th St Ste 208, Idaho Falls, ID 83404-8048 | 2015-05-29 |
| 1073906012 | Candis Caye Moss | Social Worker | 2678 Galway Cir, Idaho Falls, ID 83404-7392 | 2015-03-16 |
| 1649660663 | Christopher Brayton | Social Worker | 1553 S Lee Ave, Idaho Falls, ID 83404-5936 | 2015-01-29 |
| 1184026619 | Stephanie Christensen | Social Worker | 2635 Channing Way Ste B, Idaho Falls, ID 83404-7518 | 2014-09-16 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83401 |
Please comment or provide details below to improve the information on E. WADE SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.