Individual provider · Type 1 NPI

Yesenia Ruby Ibarra, LCSW

Clinical Social Worker · Pocatello, ID

NPI number 1649684119 Active

Practice location

200 S Main St, Ste P1
Pocatello, ID 83204-3261

Fax (208) 274-9407

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-41488 (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 1649684119

Yesenia Ruby Ibarra, LCSW's National Provider Identifier is 1649684119, issued on Jun 12, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pocatello, ID. The record was last updated on Aug 25, 2025.