Individual provider · Type 1 NPI

Trevor James Nelson, LCSW

Clinical Social Worker · Rexburg, ID

NPI number 1174971014 Active

Practice location

33 Madison Professional Park
Rexburg, ID 83440-2057

Fax (208) 656-5668

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLMSW-35746 (ID)
Clinical Social Worker Primary 1041C0700XLCSW-38193 (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 1174971014

Trevor James Nelson, LCSW's National Provider Identifier is 1174971014, issued on Jun 1, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rexburg, ID. The record was last updated on Oct 9, 2023.