MRS. ELAINE M DODSON CADC/LMS NPI 1255668919

NPI Information

NPI: 1255668919
Provider Name: MRS. ELAINE M DODSON, CADC/LMS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2205 IRONWOOD PL
STE A/B
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 664-8347
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MRS. Elaine M Dodson, CADC/LMS is an addiction (substance use disorder) counselor in Coeur D Alene, ID. MRS. Elaine M Dodson, CADC/LMS NPI is 1255668919. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2205 IRONWOOD PL
STE A/B
COEUR D ALENE, ID
ZIP 83814-785
Phone: (208) 664-8347
Fax: (208) 664-9217

The enumeration date for this NPI number is 11/17/2009 and was last updated on 1/14/2019.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CANC-118030	IDAHO	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	11445	IDAHO	Yes
3	104100000X	Social Worker		LSW-27634	IDAHO	No
4	104100000X	Social Worker		27634	IDAHO	No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	21113097	MEDICAID	WASHINGTON

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: 4/28/2024

NPI Synchronization or Removal

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