Individual provider · Type 1 NPI

Stephanie Hadley, LCSW

Clinical Social Worker · Boise, ID

NPI number 1619158979 Active

Practice location

4750 N Five Mile Rd
Boise, ID 83713-2715

Call (888) 949-4864 Map

Fax (208) 939-9110

Mailing address

3725 W 4100 S Ste 201
West Valley City, UT 84120-6490

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X28120 (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 1619158979

Stephanie Hadley, LCSW's National Provider Identifier is 1619158979, issued on Nov 15, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boise, ID. The record was last updated on Sep 8, 2025.