Individual provider · Type 1 NPI

Brett M. Judd, LCSW

Clinical Social Worker · Pocatello, ID

NPI number 1821113895 Active

Practice location

353 E Lander #201
Pocatello, ID 83201-6319

Fax (208) 904-3227

Mailing address

15149 W Lacey
Pocatello, ID 83202-5044

Specialties and licenses

TaxonomyCodeLicense
EEG Specialist/Technologist 246ZE0500XNone listed
Clinical Social Worker Primary 1041C0700XLCSW-38601 (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 1821113895

Brett M. Judd, LCSW's National Provider Identifier is 1821113895, issued on Mar 20, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pocatello, ID. The record was last updated on Sep 9, 2025.