Provider Demographics
NPI:1407297062
Name:NESS, TERIANN (LCSW)
Entity type:Individual
Prefix:
First Name:TERIANN
Middle Name:
Last Name:NESS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:TERIANN
Other - Middle Name:
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:254 E ST STE B
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83402
Mailing Address - Country:US
Mailing Address - Phone:208-529-1854
Mailing Address - Fax:208-523-5974
Practice Address - Street 1:254 E ST STE B
Practice Address - Street 2:
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83402
Practice Address - Country:US
Practice Address - Phone:208-529-1854
Practice Address - Fax:208-523-1854
Is Sole Proprietor?:No
Enumeration Date:2013-07-11
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLMSW-32902104100000X
IDLCSW-398361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker