Individual provider · Type 1 NPI

Katrina M. Dasenbrock, LCSW

Clinical Social Worker · Idaho Falls, ID

NPI number 1255792743 Active

Practice location

1254 Bannock Ave
Idaho Falls, ID 83402-2055

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-40451 (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 1255792743

Katrina M. Dasenbrock, LCSW's National Provider Identifier is 1255792743, issued on Mar 11, 2016. 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 Mar 31, 2025.