Organization · Type 2 NPI

Bridgeway Psychological and Counseling Services PLLC

Clinical Social Worker · Pocatello, ID

NPI number 1649192907 Active

Practice location

1777 E Clark St Ste 210
Pocatello, ID 83201-3357

Call (208) 203-2088 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700XNone listed
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 1649192907

Bridgeway Psychological and Counseling Services PLLC's National Provider Identifier is 1649192907, issued on Jul 28, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pocatello, ID. The record was last updated on Jul 28, 2026.