Individual
STACIE KARLINSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
545 N BENJAMIN LN, BOISE, ID 83704-9623
(208) 322-1026
Mailing address
639 N 2858 E, ROBERTS, ID 83444-5070
(208) 585-8086
(208) 932-4582
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-38814
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-42413
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW-42413
IDAHO BOARD OF SOCIAL WORK
ID
05
—
LMSW-38814
—
ID
Enumeration date
12/13/2019
Last updated
08/01/2022
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