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

MS. Teresa I Shackelford, LCSW

Individual provider Clinical Social Worker · NPI 1326399387

MS. Teresa I Shackelford, LCSW is a Clinical Social Worker in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2012.

Licensed in
ID
In the registry since
2012
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

7275 W Potomac Dr Ste A
Boise, ID 83704-9150
Phone: (208) 284-0377
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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-31375 (ID)

Record details

NPI number1326399387
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 30, 2012
Last updated in NPPESSeptember 30, 2012

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