Individual provider · Type 1 NPI

Michael Chippolla, LCSW ACADC

Clinical Social Worker · Boise, ID

NPI number 1679969976 Active

Practice location

4477 W Emerald St
Boise, ID 83706-2000

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XACADC-778 (ID)
Clinical Social Worker Primary 1041C0700XLCSW35126 (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 1679969976

Michael Chippolla, LCSW ACADC's National Provider Identifier is 1679969976, issued on Apr 13, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boise, ID. The record was last updated on Mar 17, 2017.