Individual provider · Type 1 NPI
Phillip Hathaway, LMSW
Clinical Social Worker · Rexburg, ID
Practice location
253 S 2nd E Bsmt
Rexburg, ID 83440-2202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LMSW-38731 (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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- Ambrya Ande White, LCSWClinical Social Worker Rexburg, ID NPI 1144972753
- Eric Scott Fernelius, LCSWClinical Social Worker Rexburg, ID NPI 1154545093
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About NPI 1316507296
Phillip Hathaway, LMSW's National Provider Identifier is 1316507296, issued on Jun 13, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rexburg, ID. The record was last updated on Jun 13, 2019.