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

Shasta Lee Hardee, LMSW-37764

Individual provider Social Worker · NPI 1194992545

Shasta Lee Hardee, LMSW-37764 is a Clinical Social Worker in Idaho Falls, Idaho. Qualified in 2018, 8 years ago. Practices with Willow Sage Services LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
8
Licensed in
ID
In the registry since
2008
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Practice location Address checks out

2235 E 25th St
Idaho Falls, ID 83404
Phone: (208) 643-2832
Fax: (085) 382-2332
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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 LMSW-37764 (ID)

Record details

NPI number1194992545
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW-37764
Sole proprietorNo
NPI enumeratedMay 14, 2008
Last updated in NPPESJune 7, 2018

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 Willow Sage Services Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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