Individual provider · Type 1 NPI

Eric J. Fieldstad Ii, LCSW

Clinical Social Worker · Boise, ID

NPI number 1194187898 Active

Practice location

5185 W Overland Rd
Boise, ID 83705-2635

Fax (208) 342-7584

Mailing address

PO Box 45581
Boise, ID 83711-5581

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XLMSW-34845 (ID)
School Social Worker 1041S0200XLMSW-34845 (ID)
Clinical Social Worker Primary 1041C0700XLCSW-38192 (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 1194187898

Eric J. Fieldstad Ii, LCSW's National Provider Identifier is 1194187898, issued on Mar 22, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boise, ID. The record was last updated on Feb 8, 2023.