Individual provider · Type 1 NPI

Krissyana Doll

Clinical Social Worker · Idaho Falls, ID

NPI number 1063344117 Active

Practice location

1495 E 17th St
Idaho Falls, ID 83404-6236

Mailing address

575 Winston Ave
Idaho Falls, ID 83401-3029

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X9481603 (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 1063344117

Krissyana Doll's National Provider Identifier is 1063344117, issued on Jun 2, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Idaho Falls, ID. The record was last updated on Jun 2, 2026.