Individual provider · Type 1 NPI

Cedric Joesph Decory Jr., LMSW

Clinical Social Worker · Boise, ID

NPI number 1619514510 Active

Practice location

2273 S Vista Ave Ste 190
Boise, ID 83705-7341

Call (208) 343-2737 Map

Mailing address

4724 W Franklin Rd
Boise, ID 83705-1217

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLMSW-39243 (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 1619514510

Cedric Joesph Decory Jr., LMSW's National Provider Identifier is 1619514510, issued on Dec 10, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boise, ID. The record was last updated on Dec 10, 2019.