Organization · Type 2 NPI

Bay Roots Counseling

Clinical Social Worker · Pocatello, ID

NPI number 1316838055 Active

Practice location

845 W Center St Ste B302
Pocatello, ID 83204-4205

Call (251) 725-3907 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1316838055

Bay Roots Counseling's National Provider Identifier is 1316838055, issued on Jul 11, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pocatello, ID. The record was last updated on Aug 27, 2026.