Individual
TRAVIS BRUNO SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
500 W FORT ST, BOISE, ID 83702-4501
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2147
HI
1041C0700X
Clinical Social Worker
Primary
42477
ID
1041C0700X
Clinical Social Worker
4260
HI
Other
Enumeration date
08/02/2017
Last updated
03/21/2026
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