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

Individual provider Clinical Social Worker · NPI 1316507296

Phillip Hathaway, LMSW is a Clinical Social Worker in Rexburg, Idaho. Qualified in 2018, 8 years ago. Practices with Tueller Counseling Inc, a 23-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
8
Licensed in
ID
In the registry since
2019
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

253 S 2nd E Bsmt
Rexburg, ID 83440-2202
Phone: (253) 232-3957
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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 LMSW-38731 (ID)

Record details

NPI number1316507296
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorNo
NPI enumeratedJune 13, 2019
Last updated in NPPESJune 13, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Tueller Counseling Inc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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