Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Angie A. Shantie, LCSW

Individual provider Clinical Social Worker · NPI 1659734143

Angie A. Shantie, LCSW is a Clinical Social Worker in Lewiston, Idaho. Qualified in 2006, 20 years ago. Practices with Palouse River Counseling Center, a 12-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
20
Licensed in
ID
In the registry since
2016
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1118 F St
Lewiston, ID 83501-1930
Phone: (208) 799-4440
Fax: (208) 799-5171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-30605 (ID)

Record details

NPI number1659734143
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 1, 2016
Last updated in NPPESApril 1, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Palouse River Counseling Center — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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