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

Mr. Jonathan Riley Murdock, LCSW

Individual provider Clinical Social Worker · NPI 1912205295

Mr. Jonathan Riley Murdock, LCSW is a Clinical Social Worker in Idaho Falls, Idaho. Qualified in 2020, 6 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
6
Licensed in
ID
In the registry since
2011
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

1810 W Broadway St
Idaho Falls, ID 83402-5072
Phone: (208) 538-3122
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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-44539 (ID)

Record details

NPI number1912205295
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 10, 2011
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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