MEDICARE: SKYE MECHAM LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	3961566	ID

General Provider Information

NPI Number	:	1538016688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SKYE MECHAM LMSW

Provider Business Mailing Address
First Line	:	1262 E 17TH ST
Second Line	:
City	:	IDAHO FALLS
State	:	ID
Zip	:	83404-6126
Country	:	US
Telephone Number	:	208-346-0688
Fax Number	:

Provider Business Practice Location Address
First Line	:	1262 E 17TH ST
Second Line	:
City	:	IDAHO FALLS
State	:	ID
Zip	:	83404-6126
Country	:	US
Telephone Number	:	208-346-0688
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/18/2026

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Directions to “ SKYE MECHAM LMSW” Practice Location

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