NPI age
5 years
Enumerated 2021-04-21
● Active Type 2 · Organization
Northern Star Healing, Pllc
Northern Star Healing, Pllc is 1 of 2,138 clinical (social worker) organizations in Idaho.
Primary specialty
Clinical (Social Worker)
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Novak
Owner
Last NPPES update
2021-04-21
Source: CMS NPPES provider record
How this organization compares
Across 2138 active clinical (social worker) providers in Idaho.
NPI age
5 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2021
2021-04Enumerated in NPPES
2021
2021
Where they practice
Primary practice location
1530 Fairway Street
Mountain Home, ID 83647
Mailing address
1530 Fairway Street
Mountain Home, ID 83647
Authorized official
Daniel Eli Novak, PHD, LCAC, LCSW
Owner
📞 2087940048
Specialties
-
Social Worker PrimaryA 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...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Northern Star Healing, PLLC
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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