Individual provider · Type 1 NPI

Janice Annette Lundeen, CSW

Clinical Social Worker · Idaho Falls, ID

NPI number 1699722546 Active

Practice location

2275 W Broadway St., Suite G.
Idaho Falls, ID 83402-2902

Fax (208) 534-5715

Mailing address

2 Virginia St
Phenix City, AL 36869-5436

Other practice locations

  • 2 Virginia St, Phenix City, AL 36869-5436 · (406) 250-5974

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XLMSW-41069 (ID)
Clinical Social Worker Primary 1041C0700X008823 (GA)

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 1699722546

Janice Annette Lundeen, CSW's National Provider Identifier is 1699722546, issued on May 27, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Idaho Falls, ID. The record was last updated on Oct 16, 2023.