Individual provider · Type 1 NPI

Johnathan Koelsch, LMSW

Clinical Social Worker · Ammon, ID

NPI number 1326409913 Active

Practice location

1675 Curlew Dr
Ammon, ID 83406-4850

Call (208) 523-5319 Map

Fax (208) 523-5627

Mailing address

PO Box 2106
Idaho Falls, ID 83403-2106

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLMSW-34382 (ID)
Clinical Social Worker Primary 1041C0700XLCSW-38371 (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 1326409913

Johnathan Koelsch, LMSW's National Provider Identifier is 1326409913, issued on Mar 10, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ammon, ID. The record was last updated on Aug 9, 2023.