Individual provider · Type 1 NPI

Holly Lanette Carroll, LCSW

Clinical Social Worker · Sandpoint, ID

NPI number 1124430970 Active

Practice location

420 North 2nd Ave, Pmb #2, Suite 102
Sandpoint, ID 83864

Fax (208) 719-7951

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-44620 (ID)
Social Worker 104100000X33168 (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 1124430970

Holly Lanette Carroll, LCSW's National Provider Identifier is 1124430970, issued on May 28, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sandpoint, ID. The record was last updated on Feb 23, 2026.