Individual provider · Type 1 NPI

Jennica Mitchell, LCSW

Clinical Social Worker · Eagle, ID

NPI number 1326525429 Active

Practice location

951 E Plaza Dr Ste 150
Eagle, ID 83616-6567

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-43475 (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 1326525429

Jennica Mitchell, LCSW's National Provider Identifier is 1326525429, issued on Jul 23, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eagle, ID. The record was last updated on Sep 23, 2026.