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

Corene Peterson, LCSW

Individual provider Clinical Social Worker · NPI 1003188897

Corene Peterson, LCSW is a Clinical Social Worker in Idaho Falls, Idaho. Qualified in 2011, 15 years ago. Practices with Joshua D. Smith and Associates, Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
15
Licensed in
ID
In the registry since
2012
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

1565 E Lincoln Rd
Idaho Falls, ID 83401-2129
Phone: (208) 524-8996
Fax: (208) 524-1205
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-34038 (ID)

Record details

NPI number1003188897
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 8, 2012
Last updated in NPPESOctober 10, 2014

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Joshua D. Smith And Associates, Inc. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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