Individual provider · Type 1 NPI
Lisa Mecham, LICSW
Clinical Social Worker · Apo, AA
Practice location
9040 Jackson Ave
Apo, AA 98431
Mailing address
930 W Center St
Pocatello, ID 83204-4249
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LW61604705 (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 1306799655
Lisa Mecham, LICSW's National Provider Identifier is 1306799655, issued on Feb 17, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Apo, AA. The record was last updated on Feb 17, 2026.