ROBERTA GUSTAFSON LMSW NPI 1427413798

NPI Information

  • NPI: 1427413798
  • Provider Name: ROBERTA GUSTAFSON, LMSW
  • Classification: Social Worker - 104100000X
  • Entity Type: Individual
  • Address: 1501 BENCH RD
    POCATELLO, ID
    ZIP 83201
  • Phone: (208) 242-3044

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NPI Details

Roberta Gustafson, LMSW is a social worker in Pocatello, ID. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Roberta Gustafson, LMSW NPI is 1427413798. 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:

1501 BENCH RD
POCATELLO, ID
ZIP 83201-443
Phone: (208) 242-3044

The enumeration date for this NPI number is 12/30/2015 and was last updated on 12/30/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial WorkerLMSW-33483IDAHOYes

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: 3/30/2025

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