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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GLENN JAMES LAROCK, LICSW

Active Sole Proprietor

MR. GLENN JAMES LAROCK, LICSW is a Clinical Social Worker healthcare provider located in BOISE, Idaho. NPI 1194816884 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · BOISE, ID

Registration Details

NPI Number
1194816884
Provider Type
Individual
Gender
Male
NPI Issued
Sep 27, 2006 (19.846829917595 yrs)
Last Updated
Oct 4, 2023
Licenses
110763 (MA)
089 0092617 (VT)
LCSW-35629 (ID)
Sole Proprietor
Yes

Practice Information

Address
100 E IDAHO ST
BOISE, ID, 837126267
Browse ID providers · Browse ZIP 83712
Phone
2083812711
Fax
2083814025
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in BOISE, ID

Name Credential NPI
MR. ROBERT LEE FRANKLIN LCSW 1588659676
MRS. JANE ELIZABETH KRUMM MSW 1578559308
GAIL E BAKER LCSW 1124091210
MELISSA ANN MEZO LCSW 1154380715
CLAUDIA GAYLE CURRIE-MILLS LCSW 1619936176
WILLIAM MARTIN VOGEL LCSW 1922068063
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.