Individual provider · Type 1 NPI

Nicole Sutton, LCSW

Clinical Social Worker · Rexburg, ID

NPI number 1164895009 Active

Practice location

2691 S 2000 W
Rexburg, ID 83440-4088

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Social Worker Primary 1041C0700XLCSW-42349 (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 1164895009

Nicole Sutton, LCSW's National Provider Identifier is 1164895009, issued on Oct 31, 2015. 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, 2026.