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NORTHWEST NEUROBEHAVIORAL HEALTH LLC NPI 1013223445


NPI Information

NPI: 1013223445
Provider Name: NORTHWEST NEUROBEHAVIORAL HEALTH, LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
2076 S EAGLE RD
MERIDIAN, ID
ZIP 83642
Phone: (208) 955-7333
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NORTHWEST NEUROBEHAVIORAL HEALTH, LLC is a clinical social worker in Meridian, 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. NORTHWEST NEUROBEHAVIORAL HEALTH, LLC NPI is 1013223445. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2076 S EAGLE RD
MERIDIAN, ID
ZIP 83642-707
Phone: (208) 955-7333

The provider's authorized official is Jennifer A La Jeunesse .
The authorized official title is Co-owner and has the following contact phone number (208) 283-9121.

The enumeration date for this NPI number is 8/23/2010 and was last updated on 8/17/2015.


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
1103TC0700XPsychologistClinicalPSY-202425IDAHONo
2103TC0700XPsychologistClinicalPSY-202505IDAHONo
3104100000XSocial WorkerLMSW-29787IDAHONo
4104100000XSocial WorkerLMSW-30636IDAHONo
5235Z00000XSpeech-Language PathologistSLP-1687IDAHONo
61041C0700XSocial WorkerClinicalLCSW-28431IDAHOYes

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
11369079OTHERIDAHOMEDICARE PTAN

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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