Organization · Type 2 NPI

Mindful Recovery Services PLLC

Clinical Social Worker · Coeur D Alene, ID

NPI number 1811871940 Active

Practice location

129 E Poplar Ave
Coeur D Alene, ID 83814-3435

Fax (866) 606-2375

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	None listed
Community/Behavioral Health Agency	251S00000X	None listed
Adult Mental Health Clinic/Center	261QM0850X	None listed
Substance Use Disorder Rehabilitation Clinic/Center	261QR0405X	None listed

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 1811871940

Mindful Recovery Services PLLC's National Provider Identifier is 1811871940, issued on Aug 1, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jul 29, 2026.