Individual provider · Type 1 NPI

Stacy Rae Tolliver, LCSW

Clinical Social Worker · Boise, ID

NPI number 1114290269 Active

Practice location

3712 Greenbrier Dr
Boise, ID 83705-4517

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW 1001 (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 1114290269

Stacy Rae Tolliver, LCSW's National Provider Identifier is 1114290269, issued on Feb 21, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boise, ID. The record was last updated on Feb 21, 2012.