Individual
SUMMER ANN NIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
725 JENSEN GROVE DR STE 4, BLACKFOOT, ID 83221-1636
(208) 681-2018
(208) 274-4565
Mailing address
725 JENSEN GROVE DR STE 4, BLACKFOOT, ID 83221-1636
(208) 681-2018
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW-8911534
ID
104100000X
Social Worker
Primary
LMSW-44588
ID
Other
Enumeration date
09/10/2024
Last updated
05/05/2026
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