Individual provider · Type 1 NPI

Alicia Jo Carrillo, LCSW

Clinical Social Worker · Chubbuck, ID

NPI number 1841901303 Active

Practice location

265 E Chubbuck Rd
Chubbuck, ID 83202-5055

Call (208) 237-1711 Map

Fax (208) 237-9806

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X8911078 (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 1841901303

Alicia Jo Carrillo, LCSW's National Provider Identifier is 1841901303, issued on Dec 6, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chubbuck, ID. The record was last updated on Apr 23, 2025.