MICHAEL L STEVENS (LCSW) – Mental Health Counselor, NPI 1013013010

MICHAEL L STEVENS (LCSW) is a healthcare provider. based in Chubbuck, Idaho. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. LCSW-1279 (ID). The NPI Number for MICHAEL L STEVENS (LCSW) is 1013013010

Main info

Male
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL L STEVENS (LCSW)
NPI
1013013010
Phone
(208) 237-1711
Address
4460 KINGS WAY STE 2
Enumeration Date
16 September 2006
Last Update Date
10 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2082344673
Graduation Year
1997 (29 years ago)
PAC ID
4981641578
Group Practice PAC ID
3779710876
Professional Enrollment ID
I20050414001018
Address ID
ID832043105PO109XXAVEX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

633 CLINICAL SOCIAL WORKER in ID

Provider Addresses for MICHAEL L STEVENS (LCSW)

  • 4460 KINGS WAY STE 2

    CHUBBUCK, ID 832021900

    Phone: (208) 237-1711

    Fax: (208) 237-5192

    Type: Mailing

  • 109 N ARTHUR AVE STE 203

    POCATELLO, ID 832043105

    Phone: (208) 234-4673

    Fax: (208) 234-4677

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-04-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050414001018IClinical Social WorkerIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes8311$0
90791Psychiatric diagnostic evaluation1111$0
View full utilization report →

Insurance plans in this area (ZIP 83202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779710876View full group profile
NameSpecialtyState
Clinical Social WorkerID
Clinical Social WorkerID

Reviews

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Frequently asked questions

Can I verify MICHAEL L STEVENS (LCSW) with an NPI only?
You can start verification with NPI 1013013010 for MICHAEL L STEVENS (LCSW), then check state licensing separately.
Is MICHAEL L STEVENS (LCSW) still practicing?
MICHAEL L STEVENS (LCSW) is currently listed as active in the public NPI registry.
What taxonomy line describes MICHAEL L STEVENS (LCSW)?
For research purposes, treat MICHAEL L STEVENS (LCSW) as Mental Health Counselor in this dataset. Clinical services aligned with this taxonomy classification.
Where is MICHAEL L STEVENS (LCSW) based?
MICHAEL L STEVENS (LCSW) is tied to Chubbuck, Idaho in the data we show; additional addresses may exist on the full record.
Is the information about MICHAEL L STEVENS (LCSW) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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