Individual provider · Type 1 NPI
Sebastian Moad, LCSW
Clinical Social Worker · Boise, ID
Practice location
1188 E Bergeson St
Boise, ID 83706-5802
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | IC-1615 (NV) |
| Clinical Social Worker Primary | 1041C0700X | LCSW-43908 (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 1386259745
Sebastian Moad, LCSW's National Provider Identifier is 1386259745, issued on Sep 12, 2020. 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 12, 2026.