Shandra Blacker, LMSW
NPI 1063892750 · Clinical Social Worker · Idaho Falls, ID
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shandra Blacker, LMSW is a Clinical Social Worker provider in Idaho Falls, ID (NPI 1063892750).
Provider details
- NPI number
- 1063892750
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- License
- 34857 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-06-08
- Last updated
- 2015-06-08
Frequently asked questions
- What is Shandra Blacker's NPI number?
- Shandra Blacker's National Provider Identifier (NPI) is 1063892750, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shandra Blacker's specialty?
- Shandra Blacker is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Shandra Blacker located?
- Shandra Blacker's practice location on file with NPPES is 2275 W Broadway St Ste G, Idaho Falls, ID 83402-2902.
- What is Shandra Blacker's phone number?
- The practice phone number listed in the NPPES registry for Shandra Blacker is (208) 524-7400.
- Does Shandra Blacker accept Medicare?
- Shandra Blacker is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shandra Blacker's NPI active?
- Yes — Shandra Blacker's NPI (1063892750) is active in the NPPES registry as of the last update on 2015-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.