Organization · Type 2 NPI

Stacey Titus PLLC

Clinical Social Worker · Boise, ID

NPI number 1417577412 Active

Practice location

5440 W Franklin Rd Ste 201
Boise, ID 83705-6434

Mailing address

11868 W Gunsmoke Dr
Boise, ID 83713-4753

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1417577412

Stacey Titus PLLC's National Provider Identifier is 1417577412, issued on Apr 20, 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 Apr 20, 2020.