Individual provider · Type 1 NPI

Wade Darren Leavitt, LMSW

Social Worker · Idaho Falls, ID

NPI number 1275015422 Active

Practice location

2105 Coronado St
Idaho Falls, ID 83404-7495

Call (208) 534-7881 Map

Fax (208) 203-7067

Mailing address

PO Box 1407
Idaho Falls, ID 83403-1407

Specialties and licenses

TaxonomyCodeLicense
Social Worker Primary 104100000XLMSW-37989 (ID)

Social Worker: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

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About NPI 1275015422

Wade Darren Leavitt, LMSW's National Provider Identifier is 1275015422, issued on Sep 4, 2018. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in Idaho Falls, ID. The record was last updated on Oct 20, 2026.