Counseling Center for Children and Families
Organization Active NPI Clinical Social Worker · Idaho Falls, ID
NPI 1194894964 · NPPES record last updated Jun 19, 2008
Key facts
- NPI
- 1194894964
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW-755 (ID)
- Legal business name
- COUNSELING CENTER FOR CHILDREN AND FAMILIES
- Practice address
- 2235 E 25TH St
Suite 290
Idaho Falls, ID 83404-7519 - Phone
- (208) 612-2272
- Fax
- (208) 525-2662
- NPI assigned
- Nov 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Barbara Robinson, LCSW
- Title
- Owner
- Phone
- (208) 612-2272
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Barbara Robinson LCSW
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | LCSW-755 | ID | Yes |
Addresses
Primary practice location
2235 E 25TH St
Suite 290
Idaho Falls, ID 83404-7519
Mailing address
PO Box 3635
Idaho Falls, ID 83403-3635
Phone (208) 525-2090
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806939600 | Medicaid | ID |
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All providers in Idaho Falls, 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 Jun 19, 2008. 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.