Individual provider · Type 1 NPI

Eric Scott Fernelius, LCSW

Clinical Social Worker · Rexburg, ID

NPI number 1154545093 Active

Practice location

339 E 7th N
Rexburg, ID 83440-5124

Call (801) 510-4750 Map

Other practice locations

  • 1100 W Jackson Rd, Carrollton, TX 75006-1316 · (972) 242-2182

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X41939 (TX)
Clinical Social Worker Primary 1041C0700XLCSW-37720 (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 1154545093

Eric Scott Fernelius, LCSW's National Provider Identifier is 1154545093, issued on Apr 12, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rexburg, ID. The record was last updated on May 5, 2022.