Individual provider · Type 1 NPI
Charles Douglas Bryan
Clinical Social Worker · Blackfoot, ID
Practice location
373 W Highway 39 Ste 1
Blackfoot, ID 83221-5228
Fax (208) 561-7111
Mailing address
444 Hospital Way Ste 422
Pocatello, ID 83201-2744
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LMSW-27872 (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…
Other clinical social worker providers in Blackfoot
- Michele Kelly, LCSWClinical Social Worker Blackfoot, ID NPI 1033541933
- Akaila Martin, MSWClinical Social Worker Blackfoot, ID NPI 1104571165
- Tonie Kay Heath, LCSW26074Clinical Social Worker Blackfoot, ID NPI 1205053212
- Sandee K. Young, LCSWClinical Social Worker Blackfoot, ID NPI 1215177704
- Cathy Anderson, LCSWClinical Social Worker Blackfoot, ID NPI 1225344526
- Ben Lazarus Fox, LMSWClinical Social Worker Blackfoot, ID NPI 1326670845
- Jerilyn Harrington, LCSWClinical Social Worker Blackfoot, ID NPI 1366730012
- Tia Thomas, LCSWClinical Social Worker Blackfoot, ID NPI 1447352067
About NPI 1689315111
Charles Douglas Bryan's National Provider Identifier is 1689315111, issued on Apr 6, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Blackfoot, ID. The record was last updated on Apr 6, 2022.