Individual
STEPHEN NEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
220 WARREN AVE, POCATELLO, ID 83201-4639
(208) 241-2292
Mailing address
220 WARREN AVE, POCATELLO, ID 83201-4639
(208) 241-2292
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
103751433502
UT
1041C0700X
Clinical Social Worker
Primary
LCSW-39749
ID
Other
Enumeration date
06/12/2019
Last updated
09/14/2025
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