Tamara Pettingill, LCSW
NPI 1629081864 · Clinical Social Worker · Idaho Falls, ID
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tamara Pettingill, LCSW is a Clinical Social Worker provider in Idaho Falls, ID (NPI 1629081864).
Provider details
- NPI number
- 1629081864
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- LCSW-24477 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
19 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
- 2006-08-15
- Last updated
- 2025-04-21
- Certified
- 2025-04-21
Frequently asked questions
- What is Tamara Pettingill's NPI number?
- Tamara Pettingill's National Provider Identifier (NPI) is 1629081864, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tamara Pettingill's specialty?
- Tamara Pettingill is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Tamara Pettingill located?
- Tamara Pettingill's practice location on file with NPPES is 1302 E 17th St, Idaho Falls, ID 83404-6270.
- What is Tamara Pettingill's phone number?
- The practice phone number listed in the NPPES registry for Tamara Pettingill is (208) 542-9199.
- Does Tamara Pettingill accept Medicare?
- Tamara Pettingill is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tamara Pettingill's NPI active?
- Yes — Tamara Pettingill's NPI (1629081864) is active in the NPPES registry as of the last update on 2025-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.