Individual provider · Type 1 NPI

Tina Marie Broadsword, LMSW

Clinical Social Worker · Rathdrum, ID

NPI number 1730714247 Active

Practice location

14950 N Coeur Dalene St
Rathdrum, ID 83858-6484

Fax (208) 687-3185

Mailing address

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051

Other practice locations

  • 700 W Ironwood Dr Ste 130, Coeur D Alene, ID 83814-4404 · (208) 625-4700

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XLMSW37001 (ID)
Clinical Social Worker Primary 1041C0700XLMSW37001 (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 1730714247

Tina Marie Broadsword, LMSW's National Provider Identifier is 1730714247, issued on Mar 4, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rathdrum, ID. The record was last updated on Dec 14, 2020.