P Praxis·MD
● Active Type 1 · Individual

Eric Scott Fernelius, LCSW

Social Worker·Rexburg, ID· NPI 1154545093 · Enumerated 2007 · 19 years on NPI
Fernelius is 1 of 37 social worker providers in Rexburg and 1 of 2000 in Idaho.
NPI age
19 years
Enumerated 2007-04-12
Primary specialty
Social Worker
Plus 1 subspecialty
Licensed in
ID, TX
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-05-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2000 active social worker providers in Idaho.

NPI age
19 years
↑ 9 yr above median (10 yr)
State licenses
2 states
Top 91% — 9% of peers are multi-state
Subspecialties
0
29% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-04Enumerated in NPPES
2007 2026

Where they practice

Practice location
339 E 7th N
Rexburg, ID 834405124
📞 8015104750
Mailing address
339 E 7th N
Rexburg, ID 834405124
📞 8015104750

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1100 W Jackson Rd
Carrollton, TX 750061316
📞 9722422182fax 9722422932

Specialties

  • Social Worker Primary
    A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be...
    ID license #LCSW-37720TX license #41939 taxonomy 1041C0700X

Identifiers

TypeValueNotes
01 (TX) 86550Q BLUE CROSS BLUE SHIELD
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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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.

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