Organization · Type 2 NPI

Mental Health Specialists

Clinical Social Worker · Chubbuck, ID

NPI number 1548585458 Active

Practice location

210 W Burnside Ave, Suite A
Chubbuck, ID 83202-4916

Fax (208) 238-9002

Specialties and licenses

Taxonomy	Code	License
Professional Counselor	101YP2500X	None listed
Clinical Social Worker Primary	1041C0700X	None listed
Child & Adolescent Psychiatry Physician	2084P0804X	None listed
Physician Assistant	363A00000X	None listed
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	None 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 1548585458

Mental Health Specialists's National Provider Identifier is 1548585458, issued on Apr 2, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chubbuck, ID. The record was last updated on May 28, 2025.