Individual provider · Type 1 NPI

Alexi Dimitrios Fanopoulos, LMSW

Clinical Social Worker · Boise, ID

NPI number 1891442935 Active

Practice location

3076 N Five Mile Rd
Boise, ID 83713-5215

Call (208) 376-4999 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLMSW-41913 (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 1891442935

Alexi Dimitrios Fanopoulos, LMSW's National Provider Identifier is 1891442935, issued on Mar 8, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boise, ID. The record was last updated on Mar 8, 2022.