Individual provider · Type 1 NPI

Billylynn Leiuilani Han Pestell, LCSW

Clinical Social Worker · Boise, ID

NPI number 1497318802 Active

Practice location

410 S Orchard St Ste 124
Boise, ID 83705-1210

Mailing address

6692 W Morris Hill Ln Apt 103
Boise, ID 83704-9282

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XBBH-LCSW-LIC-33967 (MT)
Clinical Social Worker Primary 1041C0700XLCSW-43502 (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 1497318802

Billylynn Leiuilani Han Pestell, LCSW's National Provider Identifier is 1497318802, issued on Apr 22, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boise, ID. The record was last updated on May 22, 2024.