Rathdrum Counseling Center, LLC
Organization Active NPI Clinical Social Worker · Rathdrum, ID
NPI 1083152144 · NPPES record last updated Feb 8, 2017
Key facts
- NPI
- 1083152144
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW 36280 (ID)
- Legal business name
- RATHDRUM COUNSELING CENTER, LLC
- Practice address
- 14954 N Coeur Dalene St
Rathdrum, ID 83858-6484 - Phone
- (208) 687-0538
- Fax
- (208) 687-3185
- NPI assigned
- Feb 8, 2017
- Organization subpart
- No
Authorized official
- Name
- Lynn M Russell, LCSW
- Title
- Owner/Director
- Phone
- (208) 687-0538
Practitioners 9
-
Lynn Russell, LCSW, ACSW, QP, CS
-
David Alverson, LCSW
-
Theresa Erbe-Neuberger, LMSW
-
Ryan M Ettner, LCSW-45249
-
Sarah Hansen, M.ED., LCPC
-
Marsha McCurdy, LCPC-8208
-
Janice Louise Robinson, LCSW
-
Violet Rudd, LAMFT
-
Hailey Myrita Allison, LMSW
National Provider Directory
Locations
14954 N Coeur Dalene St
Rathdrum, ID 83858
Phone (208) 687-0538
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | LCSW 36280 | ID | Yes |
Addresses
Primary practice location
14954 N Coeur Dalene St
Rathdrum, ID 83858-6484
Mailing address
14954 N Coeur Dalene St
Rathdrum, ID 83858-6484
Phone (208) 687-0538
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437270097 | Medicaid | ID |
Other providers in Rathdrum, ID
- Jeffrey Lee Oswell
- Kimberly K Palmer
- Michelle Marie Parks
- Rathdrum Clinic, Inc.
- Rathdrum Counseling Center LLC
- Rathdrum Physical Therapy, Inc.
- Bonnie Lynette Rawlins
- Kate Elizabeth Reidy
- Janice Louise Robinson
- Gregory A Roman
All providers in Rathdrum, ID · Clinical Social Worker in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.