Individual provider · Type 1 NPI

Dora L. Axtell, LCSW

Clinical Social Worker · Lapwai, ID

NPI number 1215695804 Active

Practice location

111 Bever Grade
Lapwai, ID 83540

Fax (208) 843-7394

Mailing address

PO Box 367
Lapwai, ID 83540-0367

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XLMSW-41113 (ID)
Clinical Social Worker Primary 1041C0700X8861709 (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 1215695804

Dora L. Axtell, LCSW's National Provider Identifier is 1215695804, issued on Dec 1, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lapwai, ID. The record was last updated on Jun 3, 2025.