Individual provider · Type 1 NPI

Jordan Lande, LCSW

Clinical Social Worker · Ponderay, ID

NPI number 1346987625 Active

Practice location

27 Lavender Ln
Ponderay, ID 83852-5107

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XBBH-LCSW-LIC-48937 (MT)

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 1346987625

Jordan Lande, LCSW's National Provider Identifier is 1346987625, issued on May 17, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ponderay, ID. The record was last updated on May 17, 2022.