NPI age
7 years
Enumerated 2019-01-28
● Active Type 2 · Organization
Idaho Institute Of Gender And Sex Therapy
Idaho Institute Of Gender And Sex Therapy is 1 of 2000 social worker organizations in Idaho.
Primary specialty
Social Worker
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Irvin
Owner
Last NPPES update
2021-12-10
Source: monthly bulk 2026-05
How this organization compares
Across 2000 active social worker providers in Idaho.
NPI age
7 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-01Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
6003 W Overland Rd Ste 105
Boise, ID 837093075
Mailing address
3278 E Renwick St
Meridian, ID 836426467
Authorized official
Jeremy Wayne Irvin, LCSW, M.ED., CST
Owner
📞 2084178428
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Wendy Barth, MSW Social Worker NPI 1609885953
- Stephanie Grover Social Worker NPI 1679229843
- Jeremy Irvin, LCSW, MED Social Worker NPI 1245684927
- Karen McConaughey, LCPC Counselor NPI 1639188907
- Jeanne Melton, MSW Social Worker NPI 1619986957
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...
Practice context
Multi-provider organization. 5 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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