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

TARA LYNN HENDRICKSON SMITH, LCSW

Active Sole Proprietor

TARA LYNN HENDRICKSON SMITH, LCSW is a Clinical Social Worker healthcare provider located in BOISE, Idaho. NPI 1780202440 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · BOISE, ID

Registration Details

NPI Number
1780202440
Provider Type
Individual
Gender
Female
NPI Issued
Jul 9, 2020 (6.0865149890583 yrs)
Last Updated
Jun 18, 2024
Licenses
LCSW-43773 (ID)
39796 (ID)
Sole Proprietor
Yes

Practice Information

Address
905 E BANNOCK ST
BOISE, ID, 837127913
Browse ID providers · Browse ZIP 83712
Phone
2084451528
Fax
2085934413
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
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.