Individual provider · Type 1 NPI

Jordyn Marie Witty, LCSW

Clinical Social Worker · Meridian, ID

NPI number 1366003147 Active

Practice location

3071 E Franklin Rd Ste 201
Meridian, ID 83642-2376

Fax (208) 807-2888

Mailing address

3425 13th St
Baker City, OR 97814-1340

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLMSW-42257 (ID)
Clinical Social Worker 1041C0700XLMSW-42257 (ID)
Clinical Social Worker Primary 1041C0700X8911019 (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 1366003147

Jordyn Marie Witty, LCSW's National Provider Identifier is 1366003147, issued on Jun 24, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Meridian, ID. The record was last updated on Sep 9, 2026.