Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL LYNN VOLLMER, LCSW
Active Sole ProprietorRUSSELL LYNN VOLLMER, LCSW is a Social Worker healthcare provider located in MALAD CITY, Idaho. NPI 1962813253 is currently active in the NPPES registry. Verify at CMS.
Social Worker · MALAD CITY, ID
Registration Details
- NPI Number
- 1962813253
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 8, 2014 (12.268666290536 yrs)
- Last Updated
- Mar 6, 2023
- Licenses
-
286822-3501 (UT)LCSW-36911 (ID)LSW-28623 (ID)286822-3501 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
215 E 50 S STE 5MALAD CITY, ID, 832522300Browse ID providers · Browse ZIP 83252
- Phone
- 2087662365
- Fax
- 2087662364
- Primary Specialty
-
Social Worker
104100000X
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Social Worker
Other Social Worker Providers in MALAD CITY, ID
| Name | Credential | NPI |
|---|---|---|
| DALLAS R SPENCER | LMSW | 1083913164 |
| TYLER COOK | LMSW | 1053150458 |
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.