Organization · Type 2 NPI

Inspire Change Therapeutic Services PLLC

Clinical Social Worker · Ponderay, ID

NPI number 1164217873 Active

Practice location

30410 Highway 200 # 200R-3
Ponderay, ID 83852-9601

Mailing address

30410 Highway 200 Ste 200R-3
Ponderay, ID 83852-9601

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1164217873

Inspire Change Therapeutic Services PLLC's National Provider Identifier is 1164217873, issued on Apr 12, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ponderay, ID. The record was last updated on Dec 17, 2025.