Organization · Type 2 NPI

Olive Branch Counseling

Clinical Social Worker · Idaho Falls, ID

NPI number 1811896392 Active

Practice location

2539 Channing Way Ste 102
Idaho Falls, ID 83404-7557

Fax (208) 875-7384

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1811896392

Olive Branch Counseling's National Provider Identifier is 1811896392, issued on Nov 2, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Idaho Falls, ID. The record was last updated on Nov 2, 2026.