NPI age
19 years
Enumerated 2007-03-02
● Active Type 2 · Organization
Idaho Dept Of Health & Welfare Reg II Amh Lew. Clinic
Idaho Dept Of Health & Welfare Reg II Amh Lew. Clinic is 1 of 93 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Malone
Program Manager
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 93 active clinic/center providers in Idaho.
NPI age
19 years
↑ 13 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1118 F St
Lewiston, ID 835011930
Mailing address
1118 F St, Drawer B
Lewiston, ID 835011930
Authorized official
Vicki R. Malone, MSW
Program Manager
📞 2087994440
Individual providers at this organization
16 individual providers on file at this primary practice address.
- Darlene Broumley, LSW Social Worker NPI 1578925541
- Diane Clark, RN, BSN Registered Nurse NPI 1952763377
- Lacie Dietrich, RN Registered Nurse NPI 1477907095
- Cort Eckert, RN Registered Nurse NPI 1417417635
- Amy Guzman, LSW Social Worker NPI 1467901355
- Cindy Harris-Lindauer, LMSW Social Worker NPI 1841701364
- Cindy Hulett, LMSW Counselor NPI 1518436906
- Denise Liedkie, RN Registered Nurse NPI 1205361136
- Pamela Lopardo, LCSW Social Worker NPI 1891156832
- Joyce Lyons, PH.D., LPC Counselor NPI 1891157434
- Joni Nuber, B.A., L.S.W. Social Worker NPI 1194187740
- Ruth Ross, LPC Counselor NPI 1851892376
- Kristien Sal Dana, LCSW Social Worker NPI 1063713501
- Angie Shantie, LCSW Social Worker NPI 1659734143
- Jeb Simpson Licensed Practical Nurse NPI 1679049126
- Laura Thayer, LCPC Counselor NPI 1396107421
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 0028329 | |
| 01 | 000010018440 | BLUE SHIELD |
| 01 | HW264 | BLUE CROSS OF IDAHO |
Practice context
Multi-provider organization. 16 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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