Individual provider · Type 1 NPI

Mary Mardell Smith, LCSW

Clinical Social Worker · Idaho Falls, ID

NPI number 1497907869 Active

Practice location

540 3rd St
Idaho Falls, ID 83401-3953

Call (208) 524-5607 Map

Mailing address

306 E 24th St
Idaho Falls, ID 83404-6947

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-1005 (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 1497907869

Mary Mardell Smith, LCSW's National Provider Identifier is 1497907869, issued on Oct 16, 2008. 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 Oct 16, 2008.