NPI 1013135078 · live from the CMS NPI Registry
Tom C Ahlrichs, LCSW
Social Worker, Clinical in Boise, ID. National Provider Identifier 1013135078, active.
NPI record
| NPI | 1013135078 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 777 N Raymond St, Boise, ID 83704 |
| Practice phone | 208-367-6044 |
| Enumerated | April 23, 2007 |
| Last updated | May 27, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | LCSW-24633 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.