Organization · Type 2 NPI

Pine Counseling, Lcsw, PLLC

Clinical Social Worker · Mountain Home, ID

NPI number 1902716038 Active

Practice location

930 N 6th E
Mountain Home, ID 83647-2208

Mailing address

999 W Main St Ste 100
Boise, ID 83702-9001

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 1902716038

Pine Counseling, Lcsw, PLLC's National Provider Identifier is 1902716038, issued on Sep 10, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mountain Home, ID. The record was last updated on Sep 10, 2026.