P Praxis·MD
● Active Type 1 · Individual

Charlotte Ann Fatafehi, LCSW

Social Worker·Saint Anthony, ID· NPI 1558081190 · Enumerated 2022 · 3 years on NPI
Fatafehi is 1 of 12 social worker providers in Saint Anthony and 1 of 2000 in Idaho.
NPI age
3 years
Enumerated 2022-09-01
Primary specialty
Social Worker
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-08-14
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
3 years
↓ 7 yr below median (10 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
29% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-09Enumerated in NPPES
2022 2026

Where they practice

Practice location
335 E Main St Ste 3
Saint Anthony, ID 834451546
📞 2083564900fax 2086244030
Mailing address
Po Box 18
Saint Anthony, ID 834450018
📞 2083564900fax 2086244112

Additional practice locations

1 secondary location on file with NPPES.

Location 2
72 S 1st E Ste 103
Rexburg, ID 834401902
📞 2083564900fax 2083721023

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 #8861731 taxonomy 1041C0700X

Practice context

Part of a multi-provider practice. 15 other active providers share 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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