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ST. ALPHONSUS REGIONAL MEDICAL CENTER INC NPI 1659419570


NPI Information

NPI: 1659419570
Provider Name: ST. ALPHONSUS REGIONAL MEDICAL CENTER INC

Other Name: ST. ALPHONSUS ADDICTION RECOVERY CENTER

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
6138 W EMERALD ST
BOISE, ID
ZIP 83704
Phone: (208) 367-3069
Get Directions

ST. ALPHONSUS REGIONAL MEDICAL CENTER INC is a clinical social worker in Boise, ID. The provider is 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. ST. ALPHONSUS REGIONAL MEDICAL CENTER INC NPI is 1659419570. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is St. Alphonsus Addiction Recovery Center.

The provider's business location address is:

6138 W EMERALD ST
BOISE, ID
ZIP 83704-857
Phone: (208) 367-3069
Fax: (208) 367-3002

The provider's authorized official is Lucy A Jones .
The authorized official title is Supervisor Of Customer Service and has the following contact phone number (208) 367-3069.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 2/27/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)IDAHONo
22084P0802XPsychiatry & NeurologyAddiction PsychiatryNo
31041C0700XSocial WorkerClinicalIDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11691782MEDICARE OSCAR/CERTIFICATIONIDAHO
21250802MEDICARE OSCAR/CERTIFICATIONIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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