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

Mr. Shawn Robert Israelsen, LCSW

Individual provider Social Worker · NPI 1629679048

Mr. Shawn Robert Israelsen, LCSW is a Clinical Social Worker in Idaho Falls, Idaho. Qualified in 2017, 9 years ago. Practices with Tueller Counseling Inc, a 23-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona, Idaho and Utah.

Years since qualifying
9
Licensed in
AZ, ID, UT
In the registry since
2020
Specialties on file
5
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2265 W Broadway St
Idaho Falls, ID 83402-2996
Phone: (208) 524-7400
Fax: (208) 534-8004
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LCSW-44276 (ID)
Social Worker Taxonomy 104100000X · Licence LMSW-18733 (AZ)
Social Worker Taxonomy 104100000X · Licence LMSW-40331 (ID)
Clinical Social Worker Taxonomy 1041C0700X · Licence 8722060-3502 (UT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 8722060-3502CSW (UT)

Record details

NPI number1629679048
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 3, 2020
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Tueller Counseling Inc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Idaho Falls