NPI 1003448713 · live from the CMS NPI Registry
Suzanne Albert, LCSW
Social Worker, Clinical in Nampa, ID. National Provider Identifier 1003448713, active.
NPI record
| NPI | 1003448713 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1603 12th Ave Rd Ste B, Nampa, ID 83686 |
| Practice phone | 208-442-0096 |
| Mailing address | 15344 Rocca Ave, Caldwell, ID 83607 |
| Enumerated | February 11, 2020 |
| Last updated | February 28, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | LMSW-34846 (ID) |
| Social Worker, Clinical primary | 1041C0700X | LCSW-39386 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.