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

Mandy J Luis, LCSW

Individual provider Clinical Social Worker · NPI 1811105042

Mandy J Luis, LCSW is a Clinical Social Worker in Idaho Falls, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2007
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

550 2nd St Ste 292
Idaho Falls, ID 83401-3900
Phone: (208) 529-2211
Fax: (208) 529-4647
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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-40086 (ID)

Record details

NPI number1811105042
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 20, 2007
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026

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