NPI 1104558337 · live from the CMS NPI Registry
Jose Luis Arzola, LCSW
Social Worker, Clinical in Boise, ID. National Provider Identifier 1104558337, active.
NPI record
| NPI | 1104558337 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 6126 W State St Ste 402, Boise, ID 83703 |
| Practice phone | 208-406-6565 |
| Enumerated | June 27, 2022 |
| Last updated | September 8, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 8911063 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.