Individual provider · Type 1 NPI

Russell O'Leary, LCSW

Clinical Social Worker · Nampa, ID

NPI number 1962883546 Active

Practice location

1305 2nd St S, Suite 201
Nampa, ID 83651-3944

Call (208) 463-0202 Map

Fax (208) 463-0205

Mailing address

1305 2nd St S Ste 201
Nampa, ID 83651-3964

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-39915 (ID)
Social Worker 104100000XLMSW-30901 (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 1962883546

Russell O'Leary, LCSW's National Provider Identifier is 1962883546, issued on Jun 9, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Nampa, ID. The record was last updated on Feb 26, 2026.