P Praxis·MD
● Active Type 1 · Individual

MR. Glenn Rose, LSW1887

Social Worker·Idaho Falls, ID· NPI 1154507796 · Enumerated 2008 · 18 years on NPI
Rose is 1 of 187 social worker providers in Idaho Falls and 1 of 1613 in Idaho.
NPI age
18 years
Enumerated 2008-01-14
Primary specialty
Social Worker
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-01-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1613 active social worker providers in Idaho.

NPI age
18 years
↑ 13 yr above median (5 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-01Enumerated in NPPES
2008 2026

Where they practice

Practice location
1740 E 17th St Ste B
Idaho Falls, ID 834046375
📞 2085298832fax 2085228725
Mailing address
1740 E 17th St Ste B
Idaho Falls, ID 834046375
📞 2085298832fax 2085228725

Specialties

  • Social Worker Primary
    A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and...
    ID license #LSW1887 taxonomy 104100000X

Practice context

Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.

Recently enumerated nearby: 13 new social worker providers have been added in Idaho Falls in the last 180 days. See all →
Provyx · Custom healthcare lists

Need all 1613 Social Worker providers in Idaho?

Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.

Request a quote →

How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related