Individual provider · Type 1 NPI

Kirsten Roche, LMSW, BS, CPSS

Clinical Social Worker · Boise, ID

NPI number 1629828173 Active

Practice location

6305 W Overland Rd
Boise, ID 83709-3029

Mailing address

6003 W Overland Rd Ste 105
Boise, ID 83709-3075

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Clinical Social Worker Primary 1041C0700X8171869 (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 1629828173

Kirsten Roche, LMSW, BS, CPSS's National Provider Identifier is 1629828173, issued on Mar 26, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boise, ID. The record was last updated on Jul 5, 2025.