Individual provider · Type 1 NPI

Rebecca Nelson Mumm, LCSW

Clinical Social Worker · Rexburg, ID

NPI number 1376139667 Active

Practice location

343 E 4th N Ste 235
Rexburg, ID 83440-6009

Fax (208) 366-1969

Mailing address

665 W Main St
Rexburg, ID 83440-1889

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X8861508 (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 1376139667

Rebecca Nelson Mumm, LCSW's National Provider Identifier is 1376139667, issued on Dec 21, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rexburg, ID. The record was last updated on Sep 3, 2026.