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

Mykell Valentina Jeppesen, LMSW, CADC

Individual provider Clinical Social Worker · NPI 1811762727

Mykell Valentina Jeppesen, LMSW, CADC is an Undefined Non-Physician Type (Specify) in Idaho Falls, Idaho. Qualified in 2021, 5 years ago. Licensed in Idaho.

Years since qualifying
5
Licensed in
ID
In the registry since
2023
Specialties on file
2
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.
CADC — Certified Alcohol and Drug Counselor
A certified addiction counsellor.

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Practice location Address checks out

685 1st St
Idaho Falls, ID 83401-4003
Phone: (208) 932-4493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 8911377 (ID)
Clinical Social Worker Taxonomy 1041C0700X · Licence 8911377 (ID)

Record details

NPI number1811762727
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW , CADC
Sole proprietorNo
NPI enumeratedNovember 20, 2023
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026

Medicare enrollment

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

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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