Organization · Type 2 NPI

Canopy Village Inc.

Clinical Social Worker · Coeur D Alene, ID

NPI number 1609354109 Active

Practice location

1350 W Hanley Ave
Coeur D Alene, ID 83815-8638

Call (208) 667-1189 Map

Other practice locations

  • 1318 W Hanley Ave, Coeur D Alene, ID 83815-8638 · (208) 765-0688

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Social Worker 104100000XNone listed
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…

3 other providers at this address

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About NPI 1609354109

Canopy Village Inc.'s National Provider Identifier is 1609354109, issued on Aug 6, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jan 19, 2026.