Individual provider · Type 1 NPI

Kristina Marie Pugh, MSW, LCSW

Clinical Social Worker · Caldwell, ID

NPI number 1003842741 Active

Practice location

13802 Quintessa St
Caldwell, ID 83607-5153

Call (801) 599-7123 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XX-07258 (NM)
Clinical Social Worker 1041C0700XI 0800088 (OH)
Clinical Social Worker Primary 1041C0700XLCSW-34310 (ID)

Clinical Social Worker: A 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 licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003842741

Kristina Marie Pugh, MSW, LCSW's National Provider Identifier is 1003842741, issued on Jun 24, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Caldwell, ID. The record was last updated on Apr 18, 2025.