Organization · Type 2 NPI

Counseling Center for Children and Families

Clinical Social Worker · Idaho Falls, ID

NPI number 1194894964 Active

Practice location

2235 E 25th St, Suite 290
Idaho Falls, ID 83404-7519

Fax (208) 525-2662

Mailing address

PO Box 3635
Idaho Falls, ID 83403-3635

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-755 (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 1194894964

Counseling Center for Children and Families's National Provider Identifier is 1194894964, issued on Nov 7, 2006. 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 Jun 19, 2008.