Individual provider · Type 1 NPI

Miriam Patricia Southern

Clinical Social Worker · Boise, ID

NPI number 1891359980 Active

Practice location

1720 N Westgate Dr Ste A-1
Boise, ID 83704-7164

Call (208) 334-0800 Map

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 1891359980

Miriam Patricia Southern's National Provider Identifier is 1891359980, issued on Apr 24, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boise, ID. The record was last updated on Apr 24, 2019.