Individual provider · Type 1 NPI

Jesse Tangen, LCSW

Clinical Social Worker · Nampa, ID

NPI number 1316499072 Active

Practice location

223 16th Ave N
Nampa, ID 83687-4058

Call (208) 466-7869 Map

Fax (208) 466-5359

Mailing address

PO Box 9
Nampa, ID 83653-0009

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XLCSW-38337 (ID)
Clinical Social Worker Primary 1041C0700XLCSW-38337 (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 1316499072

Jesse Tangen, LCSW's National Provider Identifier is 1316499072, issued on Oct 28, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Nampa, ID. The record was last updated on Feb 14, 2019.