Individual provider · Type 1 NPI

Shayla Nicole Devisser, LCSW-44697

Clinical Social Worker · Boise, ID

NPI number 1346814639 Active

Practice location

6126 W. State Street
Boise, ID 83703

Other practice locations

  • 8900 West Stirrup Street, Boise, ID 83709-8370 · (208) 226-4973

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-44697 (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 1346814639

Shayla Nicole Devisser, LCSW-44697's National Provider Identifier is 1346814639, issued on May 19, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boise, ID. The record was last updated on Mar 11, 2024.