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13D2032859 CLIA NUMBER - REHABILITATIVE HEALTH SERVICES MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 13D2032859

Facility Name: REHABILITATIVE HEALTH SERVICES MEDICAL CLINIC

Facility Address:
1675 CURLEW DR
AMMON, ID
ZIP 83406
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Facility Phone Number: 208 523-5319

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1619134277

Taxonomy: 1041C0700X - Social Worker
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.

CLIA Record

Field Name Field Value
CLIA Number 13D2032859
LAB Type Physician Office
Facility Name REHABILITATIVE HEALTH SERVICES MEDICAL CLINIC
Street 1675 CURLEW DR
City AMMON
State ID
ZIP 83406
Phone 208 523-5319
CertificateType 2
CertificateEffectiveDate 11/2/2022
CertificateExpirationDate 11/1/2024
FacilityType Compliance

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This page was last updated on: 4/23/2024