Individual provider · Type 1 NPI

Katie Bettencourt, LCSW

Clinical Social Worker · Meridian, ID

NPI number 1760111637 Active

Practice location

2068 S Eagle Rd
Meridian, ID 83642-6707

Call (208) 340-1688 Map

Fax (208) 887-3660

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X8911028 (ID)
Clinical Social Worker Primary 1041C0700X8911028 (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 1760111637

Katie Bettencourt, LCSW's National Provider Identifier is 1760111637, issued on Jun 7, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Meridian, ID. The record was last updated on Nov 3, 2025.