Organization · Type 2 NPI

Personal Growth Corporation

Clinical Social Worker · Idaho Falls, ID

NPI number 1255478293 Active

Practice location

211 S Woodruff
Idaho Falls, ID 83401

Fax (208) 529-5588

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW420 (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 1255478293

Personal Growth Corporation's National Provider Identifier is 1255478293, issued on Jan 31, 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 7, 2010.