NPI 1508558909 · live from the CMS NPI Registry
Emma Dawn Anderson, LMSW
Social Worker, Clinical in Boise, ID. National Provider Identifier 1508558909, active.
NPI record
| NPI | 1508558909 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 3501 W Elder St Ste 300, Boise, ID 83705 |
| Practice phone | 208-286-1529 |
| Enumerated | May 23, 2023 |
| Last updated | August 27, 2024 |
| Sole proprietor | No |
| Other names | Emma Miles |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | — |
| Social Worker, Clinical primary | 1041C0700X | 1508558909 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.