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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
1 | 101Y00000X | Counselor | | LMSW 35027 | IDAHO | No |
2 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | LMSW 35027 | IDAHO | No |
3 | 101YM0800X | Counselor | Mental Health | LMSW 35027 | IDAHO | No |
4 | 104100000X | Social Worker | | LMSW 35027 | IDAHO | No |
5 | 1041C0700X | Social Worker | Clinical | LMSW 35027 | IDAHO | Yes |