Individual provider · Type 1 NPI

Ontaya Acedo, LMSW

Clinical Social Worker · Pocatello, ID

NPI number 1104436062 Active

Practice location

151 N 3rd Ave Ste 330
Pocatello, ID 83201-6369

Call (208) 242-3771 Map

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XLMSW-39736 (ID)
Clinical Social Worker Primary 1041C0700X8861355 (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 1104436062

Ontaya Acedo, LMSW's National Provider Identifier is 1104436062, issued on Aug 5, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pocatello, ID. The record was last updated on Mar 31, 2025.