Individual provider · Type 1 NPI

Thomas Madden

Clinical Social Worker · Mountain Home Afb, ID

NPI number 1669444220 Active

Practice location

90 Hope Dr
Mountain Home Afb, ID 83648-1057

Call (208) 828-7520 Map

Mailing address

6175 S Intercon Way
Boise, ID 83716-7018

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X17249 (MN)

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 1669444220

Thomas Madden's National Provider Identifier is 1669444220, issued on Feb 7, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mountain Home Afb, ID. The record was last updated on Jul 8, 2007.