Individual provider · Type 1 NPI

Sadie Green

Clinical Social Worker · Ponderay, ID

NPI number 1114388105 Active

Practice location

207 Larkspur St
Ponderay, ID 83852-5011

Call (208) 255-3334 Map

Mailing address

514 N Sixth Ave
Sandpoint, ID 83864-1525

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-35936 (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 1114388105

Sadie Green's National Provider Identifier is 1114388105, issued on Mar 17, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ponderay, ID. The record was last updated on Jul 27, 2016.