Individual
SKYE J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
410 S ORCHARD ST STE 184, BOISE, ID 83705-1293
(208) 214-7408
Mailing address
16602 BERKLEY AVE, CALDWELL, ID 83607-5029
(712) 260-1956
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3181609
ID
224Z00000X
Occupational Therapy Assistant
OTA-1639
ID
Other
Enumeration date
12/29/2016
Last updated
04/02/2026
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