Individual provider · Type 1 NPI

Kathleen Shepherd

Clinical Social Worker · St. Maries, ID

NPI number 1306000575 Active

Practice location

622 W College Ave Ste 2
St. Maries, ID 83861-1822

Fax (208) 245-4349

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-28880 (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 1306000575

Kathleen Shepherd's National Provider Identifier is 1306000575, issued on Jul 16, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Maries, ID. The record was last updated on Feb 26, 2015.