Individual provider · Type 1 NPI
J Reed Stoddard, MSW
Clinical Social Worker · Rexburg, ID
Practice location
200 Shc
Rexburg, ID 83460-2020
Mailing address
249 S Millhollow Rd
Rexburg, ID 83440-2221
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LCSW-945 (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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- Mindy Jensen, LCSWClinical Social Worker Rexburg, ID NPI 1114412350
- Ambrya Ande White, LCSWClinical Social Worker Rexburg, ID NPI 1144972753
- Eric Scott Fernelius, LCSWClinical Social Worker Rexburg, ID NPI 1154545093
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About NPI 1811064801
J Reed Stoddard, MSW's National Provider Identifier is 1811064801, issued on Nov 29, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rexburg, ID. The record was last updated on Jul 8, 2007.