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

Itzel Labra

Individual provider Social Worker · NPI 1104481530

Itzel Labra is a Clinical Social Worker in Idaho Falls, Idaho. Qualified in 2018, 8 years ago. Practices with 4 Pillars of Success LLC, an 18-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
8
Licensed in
ID
In the registry since
2019
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Practice location Address checks out

1970 E 17th St Ste 208
Idaho Falls, ID 83404-8048
Phone: (208) 932-0668
Fax: (208) 932-0809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LMSW38542 (ID)

Record details

NPI number1104481530
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 1, 2019
Last updated in NPPESMay 1, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice 4 Pillars Of Success Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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