Individual provider · Type 1 NPI

Cory Beach, LCSW

Clinical Social Worker · Boise, ID

NPI number 1659733434 Active

Practice location

6485 W Interchange Ln Ste 110
Boise, ID 83709-2102

Mailing address

11702 W Tioga St
Boise, ID 83709-3351

Other practice locations

  • 11702 W Tioga St, Boise, ID 83709-3351 · (208) 402-8406

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XLMSW-35194 (ID)
Clinical Social Worker Primary 1041C0700X39008 (ID)
Social Worker 104100000X0009920848 (CO)

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 1659733434

Cory Beach, LCSW's National Provider Identifier is 1659733434, issued on Mar 22, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boise, ID. The record was last updated on Feb 28, 2024.