Individual provider · Type 1 NPI

Rana Helen Pullom, LCSW

Clinical Social Worker · Coeur D Alene, ID

NPI number 1295217495 Active

Practice location

1115 W Ironwood Dr Ste B5
Coeur D Alene, ID 83814-4936

Mailing address

1214 W Mill Ave # 10
Coeur D Alene, ID 83814-2446

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X1861160 (ID)
Clinical Social Worker Primary 1041C0700XLW61164016 (WA)

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 1295217495

Rana Helen Pullom, LCSW's National Provider Identifier is 1295217495, issued on Sep 4, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Coeur D Alene, ID. The record was last updated on Oct 29, 2026.