NPI 1215160882 · live from the CMS NPI Registry
Clifford Joshua Alexander, B.S. Psychology
Social Worker in Idaho Falls, ID. National Provider Identifier 1215160882, active.
NPI record
| NPI | 1215160882 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 345 Tabor Ave, Idaho Falls, ID 83401 |
| Practice phone | 208-521-0572 |
| Enumerated | August 31, 2009 |
| Last updated | August 31, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.