NPI 1174922355 · live from the CMS NPI Registry
Nicholas J Arbon, LCSW
Social Worker, Clinical in Mountain Home, ID. National Provider Identifier 1174922355, active.
NPI record
| NPI | 1174922355 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 120 Desert Sage Way, Mountain Home, ID 83647 |
| Practice phone | 208-587-3988 |
| Enumerated | August 14, 2014 |
| Last updated | March 18, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | 16520 (MD) |
| Social Worker, Clinical primary | 1041C0700X | LCSW-33966 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.