Individual provider · Type 1 NPI

Tabatha Jo Baumgartner, LCSW

Clinical Social Worker · Rupert, ID

NPI number 1225569338 Active

Practice location

512 6th St
Rupert, ID 83350-1621

Fax (208) 436-1758

Mailing address

402 6th St
Rupert, ID 83350-1619

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XLMSW-36530 (ID)
Clinical Social Worker Primary 1041C0700XLCSW-44878 (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 1225569338

Tabatha Jo Baumgartner, LCSW's National Provider Identifier is 1225569338, issued on Mar 22, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rupert, ID. The record was last updated on Sep 5, 2024.