Individual provider · Type 1 NPI

Tammy L. Poulsen, LCSW

Clinical Social Worker · Boise, ID

NPI number 1699796177 Active

Practice location

1055 N Curtis Rd
Boise, ID 83706-1309

Fax (208) 367-3002

Mailing address

PO Box 190930
Boise, ID 83719-0930

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW 25947 (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 1699796177

Tammy L. Poulsen, LCSW's National Provider Identifier is 1699796177, issued on Jul 21, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boise, ID. The record was last updated on Jul 8, 2007.