Individual provider · Type 1 NPI

Jennifer Nicole Clure

Clinical Social Worker · Boise, ID

NPI number 1114573052 Active

Practice location

1075 E Park Blvd
Boise, ID 83712-7722

Fax (208) 381-5971

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Clinical Social Worker Primary 1041C0700X8861418 (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 1114573052

Jennifer Nicole Clure's National Provider Identifier is 1114573052, issued on Aug 15, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boise, ID. The record was last updated on May 8, 2025.