Individual provider · Type 1 NPI

Shellie Waterman, LCSW

Clinical Social Worker · Chubbuck, ID

NPI number 1801335633 Active

Practice location

210 W Burnside Ave, Suite A
Chubbuck, ID 83202-4916

Call (208) 238-9000 Map

Fax (208) 238-9002

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-35898 (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 1801335633

Shellie Waterman, LCSW's National Provider Identifier is 1801335633, issued on Feb 13, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chubbuck, ID. The record was last updated on Feb 13, 2017.