Individual provider · Type 1 NPI

Evan Tullis Anderson, LCSW

Clinical Social Worker · Boise, ID

NPI number 1780105767 Active

Practice location

300 S 23rd St
Boise, ID 83702-9100

Call (208) 344-3512 Map

Fax (208) 466-5359

Mailing address

PO Box 9
Nampa, ID 83653-0009

Other practice locations

  • 2825 S Meridian Rd Ste 150, Meridian, ID 83642-7960 · (208) 297-9495
  • 2216 W Fairview Ave, Boise, ID 83702-6844 · (208) 721-5070

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-42535 (ID)
Clinical Social Worker 1041C0700X34856 (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 1780105767

Evan Tullis Anderson, LCSW's National Provider Identifier is 1780105767, issued on Jun 29, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boise, ID. The record was last updated on Jun 11, 2026.