Individual provider · Type 1 NPI

Luis Esteban Chavolla

Clinical Social Worker · Coeur D Alene, ID

NPI number 1902372857 Active

Practice location

3700 W Seltice Way
Coeur D Alene, ID 83814-8921

Call (208) 620-5250 Map

Mailing address

PO Box 1387
Hayden, ID 83835-1387

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XLMSW-43041 (ID)
Clinical Social Worker Primary 1041C0700X8911211 (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 1902372857

Luis Esteban Chavolla's National Provider Identifier is 1902372857, issued on Oct 18, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Coeur D Alene, ID. The record was last updated on May 27, 2025.