Individual provider · Type 1 NPI

Mindy Jo Wolverton, LMSW

Clinical Social Worker · Boise, ID

NPI number 1366164022 Active

Practice location

5440 W Franklin Rd Ste 200
Boise, ID 83705-6434

Mailing address

7580 W Lower Fork Ct
Boise, ID 83709-6088

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X28591 (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 1366164022

Mindy Jo Wolverton, LMSW's National Provider Identifier is 1366164022, issued on Sep 19, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boise, ID. The record was last updated on Sep 19, 2022.