SUE ROSENBAUM (LCSW) – Clinical Social Worker, NPI 1164781647

SUE ROSENBAUM (LCSW) is a healthcare provider. based in Idaho falls, Idaho. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. LMSW-32084 (ID). The NPI Number for SUE ROSENBAUM (LCSW) is 1164781647

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
SUE ROSENBAUM (LCSW)
NPI
1164781647
Phone
(208) 523-5319
Address
PO BOX 2106
Enumeration Date
3 May 2012
Last Update Date
24 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2085235319
Graduation Year
2012 (14 years ago)
PAC ID
0042432429
Group Practice PAC ID
3173794187
Professional Enrollment ID
I20141119002466
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:14State licenses:2Digital endpointsOther names

Provider Addresses for SUE ROSENBAUM (LCSW)

  • PO BOX 2106

    IDAHO FALLS, ID 834032106

    Phone: (208) 523-5319

    Fax: (208) 523-5627

    Type: Mailing

  • 1970 E 17TH ST

    SUITE 202

    IDAHO FALLS, ID 834048014

    Phone: (208) 523-5319

    Fax: (208) 523-5627

    Type: Location

  • 772 E 1150 S

    HYRUM, UT 84319

    Phone: (208) 351-5024

    Type: Mailing

  • 440 W 600 N

    TREMONTON, UT 843372400

    Phone: (435) 257-2168

    Fax: (435) 257-0318

    Type: Location

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83403)

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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: 3173794187View full group profile
NameSpecialtyState
STEPHANIE TOLDSON (LCSW)
-ID
Unknown Individual
-ID

Reviews

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Frequently asked questions

Can I cross-check SUE ROSENBAUM (LCSW) using NPI 1164781647?
NPI 1164781647 belongs to SUE ROSENBAUM (LCSW); compare other details if you need extra assurance.
Is there an active status for SUE ROSENBAUM (LCSW)?
For scheduling context, SUE ROSENBAUM (LCSW) is shown as active in the registry.
What kind of doctor is SUE ROSENBAUM (LCSW)?
SUE ROSENBAUM (LCSW) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for SUE ROSENBAUM (LCSW)?
Travel planning: use Idaho Falls, Idaho as the reference point for SUE ROSENBAUM (LCSW), then confirm.
Does SUE ROSENBAUM (LCSW) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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