Individual provider · Type 1 NPI

Rebecca Hardy, L.C.S.W.

Clinical Social Worker · Pocatello, ID

NPI number 1679648638 Active

Practice location

1257 East Center Street
Pocatello, ID 83201-1257

Call (208) 904-1583 Map

Fax (208) 904-1583

Mailing address

P.o. Box 4841
Pocatello, ID 83205-4841

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X40 (ME)
Clinical Social Worker 1041C0700X666 (ME)
Clinical Social Worker Primary 1041C0700X32114 (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 1679648638

Rebecca Hardy, L.C.S.W.'s National Provider Identifier is 1679648638, issued on Nov 22, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pocatello, ID. The record was last updated on May 2, 2016.