Individual provider · Type 1 NPI

Michael Terry Hartley, LCSW

Clinical Social Worker · Idaho Falls, ID

NPI number 1700995909 Active

Practice location

3760 Washington Pkwy
Idaho Falls, ID 83404-7593

Call (208) 681-1872 Map

Mailing address

3877 E Pepperwood
Rigby, ID 83442-5696

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-27134 (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 1700995909

Michael Terry Hartley, LCSW's National Provider Identifier is 1700995909, issued on Aug 30, 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 Apr 27, 2026.