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

Ronald Kyle Sebreros I, LCSW

Individual provider Social Worker · NPI 1386901627

Ronald Kyle Sebreros I, LCSW is a Clinical Social Worker in Idaho Falls, Idaho. Qualified in 2011, 15 years ago. Practices with Community Council of Idaho, Inc, a 17-clinician group. Licensed in Idaho.

Years since qualifying
15
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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2100 Alan St
Idaho Falls, ID 83404-5801
Phone: (208) 528-7655
Fax: (208) 524-9390
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LCSW-34256 (ID)

Record details

NPI number1386901627
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 11, 2012
Last updated in NPPESApril 10, 2024
Certification dateApril 10, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Community Council Of Idaho, Inc. — 17 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Idaho Falls