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XL HOSPICE INC. NPI 1043411861


NPI Profile

NPI: 1043411861
Provider Name: XL HOSPICE, INC.

Doing Business As: XL PALLIATIVE CARE CONSULTATION

Classification:Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
2480 HIGHWAY 52
PAYETTE, ID
ZIP 83661
Get Directions

Phone: (208) 642-9222

XL HOSPICE, INC. is a clinical social worker in Payette, 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. XL HOSPICE, INC. NPI is 1043411861. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Xl Palliative Care Consultation.

The provider's business location address is:

2480 HIGHWAY 52
PAYETTE, ID
ZIP 83661-536
Phone: (208) 642-9222
Fax: (208) 642-9224

The provider's authorized official is Dwight Erwin Olson .
The authorized official title is Owner and has the following contact phone number (208) 642-9222.

The enumeration date for this NPI number is 5/30/2007 and was last updated on 4/20/2008.


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
11041C0700XSocial WorkerClinicalLCSW1449OREGONNo
21041C0700XSocial WorkerClinicalLCSW707IDAHOYes

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
1=========OTHERIDAHOTAX ID
219523088751OTHERIDAHOBUSINESS NPI
3131510MEDICARE ID-TYPE UNSPECIFIEDIDAHOMEDICARE ID

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: 6/14/2021

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