Individual provider · Type 1 NPI

Timmie Lyn John, LMSW

Clinical Social Worker · Idaho Falls, ID

NPI number 1386767499 Active

Practice location

1600 John Adams Pkwy
Idaho Falls, ID 83401-4300

Mailing address

603 E 1270 N
Shelley, ID 83274-4902

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XLMSW-27752 (ID)
Clinical Social Worker Primary 1041C0700XLCSW-32554 (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 1386767499

Timmie Lyn John, LMSW's National Provider Identifier is 1386767499, issued on Apr 6, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Idaho Falls, ID. The record was last updated on Mar 8, 2021.