Individual
LINDSAY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
417 S 6TH ST, BOISE, ID 83702-7632
(208) 577-4474
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8861019
ID
104100000X
Social Worker
LMSW-37911
ID
Other
Enumeration date
02/01/2021
Last updated
08/12/2025
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