Individual
JESSICA LUDWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1441 NE 10TH AVE, PAYETTE, ID 83661-5420
(208) 642-9376
(208) 642-9598
Mailing address
4614 S DENISON AVE, MERIDIAN, ID 83642-9201
(208) 599-5121
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8851995
ID
104100000X
Social Worker
L16952
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500862617
—
OR
Enumeration date
05/06/2022
Last updated
01/14/2026
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