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

Philip R Sheridan, LCSW

Individual provider Mental Health Counselor · NPI 1619993581

Philip R Sheridan, LCSW is a Mental Health Counselor in Bellevue, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
Specialties on file
3
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

161 Cowcatcher Loop
Bellevue, ID 83313-5289
Phone: (801) 884-3809
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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-7671154 (ID)
Mental Health Counselor Taxonomy 101YM0800X · Licence LCSW-7671154 (ID)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCSW24911 (ID)

Record details

NPI number1619993581
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 14, 2006
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025

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