Individual provider · Type 1 NPI

Zachary Lee Vaughan, LCSW

Clinical Social Worker · Coeur D Alene, ID

NPI number 1326557455 Active

Practice location

3700 W Seltice Way
Coeur D Alene, ID 83814-8921

Fax (448) 077-3998

Mailing address

PO Box 1387
Hayden, ID 83835-1387

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XLMSW-36960 (ID)
Clinical Social Worker Primary 1041C0700XLCSW-44861 (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 1326557455

Zachary Lee Vaughan, LCSW's National Provider Identifier is 1326557455, issued on Sep 20, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Coeur D Alene, ID. The record was last updated on Mar 4, 2025.