Individual provider · Type 1 NPI

Kelly E. Wedeven, LCSW

Clinical Social Worker · Boise, ID

NPI number 1912923871 Active

Practice location

131 N Allumbaugh St
Boise, ID 83704-9204

Call (208) 367-2175 Map

Fax (208) 376-0285

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW24754 (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 1912923871

Kelly E. Wedeven, LCSW's National Provider Identifier is 1912923871, issued on Jul 14, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boise, ID. The record was last updated on Jun 15, 2023.