Organization · Type 2 NPI

Pettingill Counseling Services, Professional Corporation

Clinical Social Worker · Idaho Falls, ID

NPI number 1194847285 Active

Practice location

1302 E 17th St
Idaho Falls, ID 83404-6270

Call (208) 542-9919 Map

Fax (208) 542-6272

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-24477 (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 1194847285

Pettingill Counseling Services, Professional Corporation's National Provider Identifier is 1194847285, issued on Apr 6, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Idaho Falls, ID. The record was last updated on Oct 21, 2026.