Driftwood Whole Health

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DRIFTWOOD WHOLE HEALTH

Practice address

303 N 12TH Ave
Pocatello, ID 83201-4746

Phone

(248) 330-5234

NPI assigned

Apr 6, 2020

Last updated

May 27, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brittany Wright, MSW, LCSW

Title

LCSW

Phone

(248) 330-5234

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1841829496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 N 9TH AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015205",
            "telephone_number": "248-330-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N 12TH AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014746",
            "telephone_number": "248-330-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRIFTWOOD WHOLE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "248-330-5234",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Ann Downes, LCPC
• Madeline Downes
• Michael John Doyle, PA-C(PHYS ASST)
• Dpmgilbertnrid LLC
• Dr Darryl D Bybee DDS
• Dewey Michael Driscoll, CRNA
• Bryant Dudzik, DDS
• Malynda Duern, PTA
• Dulcet Hearing, LLC
• Gabriel Richard Dums, PA-S

• Clinical Social Worker in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.