Organization · Type 2 NPI

Open Trails Counseling and Consulting PLLC

Clinical Social Worker · Idaho Falls, ID

NPI number 1619503893 Active

Practice location

2539 Channing Way Ste 100
Idaho Falls, ID 83404-7558

Mailing address

PO Box 372
Rigby, ID 83442-0372

Other practice locations

  • 4120 E 200 N, Rigby, ID 83442-5975 · (208) 538-3450

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 1619503893

Open Trails Counseling and Consulting PLLC's National Provider Identifier is 1619503893, issued on Mar 19, 2020. 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 Jul 23, 2024.