NPI age
19 years
Enumerated 2006-07-25
Across 2000 active social worker providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 805622500 | |
| 01 (ID) | P00009424 | RAILROAD |
| 01 (ID) | 12567375 | CAQH PIN |
| 01 (ID) | LCSW-1272 | PROFESSIONAL LICENSE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →