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

MS. Shellie Waterman, LCSW

Individual provider Clinical Social Worker · NPI 1801335633

MS. Shellie Waterman, LCSW is a Clinical Social Worker in Chubbuck, Idaho. Licensed in Idaho. Registered with an NPI since 2017.

Licensed in
ID
In the registry since
2017
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

210 W Burnside Ave Ste A
Chubbuck, ID 83202-4916
Phone: (208) 238-9000
Fax: (208) 238-9002
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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-35898 (ID)

Record details

NPI number1801335633
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 13, 2017
Last updated in NPPESFebruary 13, 2017
Mailing address210 W Burnside Ave, Suite A, Chubbuck, ID 83202-4916

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