Individual provider · Type 1 NPI
Fred David Dodge, LCSW
Clinical Social Worker · Meridian, ID
Practice location
2650 S Eagle Rd
Meridian, ID 83642-6725
Mailing address
2725 Via Valdarno
Pocatello, ID 83201-5830
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LCSW-40095 (ID) |
| Mental Health Counselor | 101YM0800X | 8851160-3501 (UT) |
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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- Lisa Melendy, LMSWClinical Social Worker Meridian, ID NPI 1003585464
- Gary W. Lee, LCSWClinical Social Worker Meridian, ID NPI 1003963638
- Jennifer Ann La Jeunesse, LCSWClinical Social Worker Meridian, ID NPI 1013106434
- Christina DallolioClinical Social Worker Meridian, ID NPI 1023569076
- Lysandra C. Scott, LCSWClinical Social Worker Meridian, ID NPI 1073164638
- Melissa Marquez, LCSWClinical Social Worker Meridian, ID NPI 1083853477
- David HayesClinical Social Worker Meridian, ID NPI 1093563801
About NPI 1669117438
Fred David Dodge, LCSW's National Provider Identifier is 1669117438, issued on May 4, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Meridian, ID. The record was last updated on Sep 21, 2026.