Individual provider · Type 1 NPI

Sallie Sublette

Clinical Social Worker · Pocatello, ID

NPI number 1316961972 Active

Practice location

850 E Center St
Pocatello, ID 83201-5737

Mailing address

5675 Hilo Dr
Pocatello, ID 83204-4625

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-339 (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 1316961972

Sallie Sublette's National Provider Identifier is 1316961972, issued on Jul 27, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pocatello, ID. The record was last updated on Jul 8, 2007.