Individual provider · Type 1 NPI

E. Wade Smith, LCSW, LPC

Clinical Social Worker · Idaho Falls, ID

NPI number 1871929026 Active

Practice location

111 E 16th St
Idaho Falls, ID 83401

Fax (208) 529-6501

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLPC - 161 (ID)
Clinical Social Worker Primary 1041C0700XLCSW - 348 (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 1871929026

E. Wade Smith, LCSW, LPC's National Provider Identifier is 1871929026, issued on Sep 19, 2013. 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 Sep 19, 2013.