Shandra Blacker, LMSW
Clinical Social Worker · Idaho Falls, ID
Shandra Blacker, LMSW is a clinical social worker with a practice address in Idaho Falls, Idaho, and NPI 1063892750, issued on Jun 8, 2015. Check the license (Idaho 34857, as entered in NPPES) with the Idaho board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Shandra Blacker
- Credential
- LMSW
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License number
- 34857 ID
Self-reported in NPPES; status is on the state search - Practice location
- 2275 W Broadway St Ste G, Idaho Falls, ID 83402
- Phone
- (208) 524-7400
- Enumerated
- Jun 8, 2015
- Record last updated
- Jun 8, 2015 (not updated in 11 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20201124002437); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 2275 W Broadway St Ste G
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Ashley Ball, LMSWClinical Social Worker1407311707
- James Barnes, SUDAAddiction (Substance Use Disorder) Counselor1467066183
- Amanda Byrd, CADCSocial Worker1578818381
- Pamela Campbell, LMSWSocial Worker1699051607
- Cody Carlson, LPCProfessional Counselor1790262871
- Julie Carlson, LCSWMental Health Counselor1841882594
Verify Shandra Blacker in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Idaho board licenses this profession
Search for license 34857Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Mountain View Hospital LLCIdaho Falls, ID
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
168 clinical social worker records list a practice address in Idaho Falls
They are 168 of the 2,467 NPPES records with a practice address in Idaho Falls, and 1,750 clinical social worker records in Idaho.
All 168 in Idaho Falls → All 1,750 in Idaho → Every provider in Idaho Falls →
Other clinical social worker records in Idaho
- Aisha AbimbolaBoise, ID1871231043
- Willow Abrahamson, LCSWFort Hall, ID1578255733
- Jean Abrams, LCSWDriggs, ID1003265521
- Ontaya Acedo, LMSWPocatello, ID1104436062
- Laura Acero, LCSW-RJerome, ID1417094012
- Katherine Acevedo Salazar, LMSWBoise, ID1861327785
- Charlotte Ackerman, LCSWIdaho Falls, ID1407890114
- Jyl Adams, LCSWEagle, ID1184764474
- Francisco Javier Aguilar Pizano, LCSWNampa, ID1790278463
- Tom Ahlrichs, LCSWBoise, ID1013135078
Common questions
What is Shandra Blacker, LMSW's NPI number?
Shandra Blacker, LMSW's National Provider Identifier (NPI) is 1063892750, issued on Jun 8, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Shandra Blacker, LMSW located?
The NPPES record lists a practice address at 2275 W Broadway St Ste G, Idaho Falls, ID, 83402. Phone: (208) 524-7400. Providers update this record themselves, so call before visiting.
How can I verify Shandra Blacker, LMSW's license?
NPPES lists Idaho license number 34857, as entered by the provider. Search the Idaho board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.