Search › Idaho › 101Y00000X
Randall Parker, LCSW, CADC
NPI 1609221308 · on the registry since 2016 · sole proprietor
Practice
- Address
- 685 1st St
Idaho Falls, ID 83401 - Phone
- (208) 932-4493
- Organisation at this address
- Stewards Of Recovery
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Additional practice sites
- 1171 N Skyline Dr Apt 3, Idaho Falls, ID
- 1337 E 17th St, Idaho Falls, ID
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 101YA0400X
1041C0700X - Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho