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EMMETT FAMILY SERVICES NPI 1770647612


NPI Profile

NPI: 1770647612
Provider Name: EMMETT FAMILY SERVICES
Classification:Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
501 N 16TH ST
STE 108 & 110
PAYETTE, ID
ZIP 83661
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Phone: (208) 642-2600

EMMETT FAMILY SERVICES 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. EMMETT FAMILY SERVICES NPI is 1770647612. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

501 N 16TH ST
STE 108 & 110
PAYETTE, ID
ZIP 83661-781
Phone: (208) 642-2600
Fax: (208) 642-6164

The provider's authorized official is Michael S Lee .
The authorized official title is Co-owner and has the following contact phone number (208) 559-7773.

The enumeration date for this NPI number is 12/21/2006 and was last updated on 9/28/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial Worker26695IDAHONo
2363LF0000XNurse PractitionerFamily446AIDAHONo
31041C0700XSocial WorkerClinical24210IDAHOYes

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
1806586200MEDICAIDIDAHO
2806575100MEDICAIDIDAHO

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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