KIMBERLY LIND WACASTER LCSW NPI 1619288537

NPI Information

  • NPI: 1619288537
  • Provider Name: KIMBERLY LIND WACASTER, LCSW
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 4650 HAWTHORNE RD
    SUITE 3B
    CHUBBUCK, ID
    ZIP 83202
  • Phone: (208) 237-9833

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NPI Details

Kimberly Lind Wacaster, LCSW is a mental health counselor in Chubbuck, ID. Kimberly Lind Wacaster, LCSW NPI is 1619288537. 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:

4650 HAWTHORNE RD
SUITE 3B
CHUBBUCK, ID
ZIP 83202-376
Phone: (208) 237-9833
Fax: (208) 237-1800

The enumeration date for this NPI number is 6/25/2010 and was last updated on 6/25/2010.

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
1101YM0800XCounselorMental HealthLCSW-27911IDAHOYes

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: 11/21/2025

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