Individual provider · Type 1 NPI
Tyra Noell Peone
Clinical Social Worker · Boise, ID
Practice location
9259 W Stoneham Dr
Boise, ID 83714-6705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | L17498 (OR) |
| Clinical Social Worker Primary | 1041C0700X | 8911149 (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 1316698624
Tyra Noell Peone's National Provider Identifier is 1316698624, issued on Jan 18, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boise, ID. The record was last updated on Mar 24, 2026.