Organization · Type 2 NPI

Grounded Wellness PLLC

Clinical Social Worker · Boise, ID

NPI number 1609702604 Active

Practice location

1010 W Washington St
Boise, ID 83702-5446

Call (208) 860-2390 Map

Mailing address

713 N Echohawk Way
Eagle, ID 83616-5489

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 1609702604

Grounded Wellness PLLC's National Provider Identifier is 1609702604, issued on Jun 18, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boise, ID. The record was last updated on Aug 11, 2026.