Individual provider · Type 1 NPI

Kristan Ann Kudera, BS IN PSYCHOLOGY

Clinical Social Worker · Boise, ID

NPI number 1821973330 Active

Practice location

8610 W Overland Rd
Boise, ID 83709-1645

Call (208) 514-2500 Map

Other practice locations

  • 315 E Elm St, Caldwell, ID 83605-4857 · (208) 514-2500

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 1821973330

Kristan Ann Kudera, BS IN PSYCHOLOGY's National Provider Identifier is 1821973330, issued on Aug 6, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boise, ID. The record was last updated on Aug 6, 2025.