Individual provider · Type 1 NPI

Brooke Herzog, LCSW

Clinical Social Worker · Meridian, ID

NPI number 1629402888 Active

Practice location

520 S Eagle Rd Ste 1229
Meridian, ID 83642-6355

Call (208) 331-1155 Map

Fax (208) 383-0190

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice locations

915 Parkcentre Way, Suite 7, Nampa, ID 83651-1745 · (208) 442-7791
3277 E Louise Dr Ste 220, Meridian, ID 83642-9390 · (208) 514-2509
925 NW 1st St, Meridian, ID 83642 · (208) 514-2527

Specialties and licenses

Taxonomy	Code	License
Social Worker	104100000X	33040 (ID)
Clinical Social Worker Primary	1041C0700X	LCSW-37178 (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…

3 other providers at this address

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About NPI 1629402888

Brooke Herzog, LCSW's National Provider Identifier is 1629402888, issued on Aug 23, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Meridian, ID. The record was last updated on May 23, 2025.