AMY HERZOG LCSW NPI 1861534133

NPI Information

  • NPI: 1861534133
  • Provider Name: AMY HERZOG, LCSW
  • Classification: Day Training, Developmentally Disabled Services - 251C00000X
  • Entity Type: Individual
  • Address: 175 BROME DR.
    #7
    VICTOR, ID
    ZIP 83455
  • Phone: (406) 360-1631

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NPI Details

Amy Herzog, LCSW is a day training developmentally disabled services in Victor, ID. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. Amy Herzog, LCSW NPI is 1861534133. 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:

175 BROME DR.
#7
VICTOR, ID
ZIP 83455
Phone: (406) 360-1631

The enumeration date for this NPI number is 2/13/2007 and was last updated on 10/14/2009.

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
1101Y00000XCounselorWYOMINGNo
2251C00000XDay Training, Developmentally Disabled ServicesYes

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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