Individual provider · Type 1 NPI

Krista Davis, LMSW

Clinical Social Worker · Boise, ID

NPI number 1639790710 Active

Practice location

545 N Benjamin Ln Ste 185
Boise, ID 83704-9625

Call (208) 322-1026 Map

Mailing address

511 Shady Acres Ln
Prairie Grove, AR 72753-2503

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLMSW-42928 (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 1639790710

Krista Davis, LMSW's National Provider Identifier is 1639790710, issued on Apr 30, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boise, ID. The record was last updated on Oct 21, 2025.