Inspire Change Therapeutic Services PLLC
Organization Active NPI Clinical Social Worker · Ponderay, ID
NPI 1164217873 · NPPES record last updated Dec 17, 2025
Key facts
- NPI
- 1164217873
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- INSPIRE CHANGE THERAPEUTIC SERVICES PLLC
- Practice address
- 30410 Highway 200 # 200R-3
Ponderay, ID 83852-9601 - Phone
- (208) 290-5285
- NPI assigned
- Apr 12, 2025
- Organization subpart
- No
Authorized official
- Name
- Michaella A Hammersberg, LCSW
- Title
- Owner
- Phone
- (208) 610-4861
Practitioners 1
-
Michaella A. Hammersberg, LCSW
National Provider Directory
Locations
30410 Highway 200
Ste 200R3
Ponderay, ID 83852
Phone (208) 620-4861
30410 Highway 200
#200R3
Ponderay, ID 83852
Phone (208) 290-5285
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
30410 Highway 200 # 200R-3
Ponderay, ID 83852-9601
Mailing address
30410 Highway 200 Ste 200R-3
Ponderay, ID 83852-9601
Phone (208) 610-4861
Other providers in Ponderay, ID
- Jessica Hunt
- Idaho Dept of Health & Welfare Reg 1 Ahm PSR Sandpoint
- Idaho Dept of Health & Welfare Reg 1 Amh Clinic Sandpoint
- Inland Northwest Renal Care Group, LLC
- Innovative Anesthesia
- Daniel Grant Freeman Jefferies
- Brenda Kay Jerald
- Jesstherapy PLLC
- Kauai in-Home Therapy LLC
- Kids in Motion Physical Therapy, PC
All providers in Ponderay, 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 Dec 17, 2025. 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.