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

Emily Shore, LCSW

Individual provider Social Worker · NPI 1801450234

Emily Shore, LCSW is a Social Worker in Rexburg, Idaho. Licensed in Idaho. Registered with an NPI since 2019.

Licensed in
ID
In the registry since
2019
Specialties on file
2
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

1218 Bond Ave
Rexburg, ID 83440-3503
Phone: (208) 534-7881
Fax: (208) 242-4464
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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 8861741 (ID)
Social Worker Taxonomy 104100000X

Record details

NPI number1801450234
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 1, 2019
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024

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