Individual provider · Type 1 NPI

Cole Ivancic, LCSW

Clinical Social Worker · Meridian, ID

NPI number 1942948112 Active

Practice location

3709 N Locust Grove Rd Ste 100
Meridian, ID 83646-5924

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X8911012 (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 1942948112

Cole Ivancic, LCSW's National Provider Identifier is 1942948112, issued on May 26, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Meridian, ID. The record was last updated on Oct 15, 2025.